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1073005187
LUIS SANTIAGO GARCIA DIAZ
PHOENIX, AZ
NPI
1073005187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: 16-166)
Enumeration Date
2018-06-04
Last Update Date
2022-02-15
Business Address
LUIS SANTIAGO GARCIA DIAZ SA-C
6901 E CHAUNCEY LN APT 1028
PHOENIX, AZ 85054-5104
Phone number: 214-227-2457
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Mailing Address
LUIS SANTIAGO GARCIA DIAZ SA-C
PO BOX 2550
ROWLETT, TX 75030-2550
Phone number: 214-227-2457
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