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1013279579
DORISELL DIAZ
BRONX, NY
NPI
1013279579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 259939031)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Ms. DORISELL DIAZ
1469 LONGFELLOW AVE
BRONX, NY 10460-5907
Phone number: 646-319-0929
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Mailing Address
Ms. DORISELL DIAZ
1469 LONGFELLOW AVE
BRONX, NY 10460-5907
Phone number: 646-319-0929
Copy
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