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1013518711
JENNIFER DIAZ
SANTA MARIA, CA
NPI
1013518711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015632)
Enumeration Date
2020-11-08
Last Update Date
2020-12-09
Business Address
Mrs. JENNIFER DIAZ NP
210 S PALISADE DR STE 101
SANTA MARIA, CA 93454-5932
Phone number: 805-922-0481
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Mailing Address
Mrs. JENNIFER DIAZ NP
1400 E CHURCH ST MEDICAL STAFF OFFICE
SANTA MARIA, CA 93454
Phone number: 805-739-3114
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