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1104308980
HARRISON LEE DIAZ
SUFFERN, NY
NPI
1104308980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321389)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
HARRISON LEE DIAZ L.P.N.
15 SUFFERN PLACE
SUFFERN, NY 10901
Phone number: 845-357-4500
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Mailing Address
HARRISON LEE DIAZ L.P.N.
15 SUFFERN PLACE
SUFFERN, NY 10901
Phone number: 845-357-4500
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