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1013387448
TINA DIAZ
WISCONSIN RAPIDS, WI
NPI
1013387448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 194780)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
-- TINA DIAZ
441 4TH ST S
WISCONSIN RAPIDS, WI 54494-4384
Phone number: 715-570-4330
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Mailing Address
-- TINA DIAZ
441 4TH ST S
WISCONSIN RAPIDS, WI 54494-4384
Phone number: 715-570-4330
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