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1104641059
KELLY ETHEL DIAZ
NORTHRIDGE, CA
NPI
1104641059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-16
Last Update Date
2024-11-16
Business Address
KELLY ETHEL DIAZ
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number: 818-826-1637
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Mailing Address
KELLY ETHEL DIAZ
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-0001
Phone number:
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