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1104693993
SUSAN MARIE DIAZ
WILLIAMSVILLE, NY
NPI
1104693993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 349106)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
SUSAN MARIE DIAZ LPN
136 RED OAK DR
WILLIAMSVILLE, NY 14221-2328
Phone number: 716-907-0905
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Mailing Address
SUSAN MARIE DIAZ LPN
136 RED OAK DR
WILLIAMSVILLE, NY 14221-2328
Phone number:
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