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1104984988
DIEGO RIVERA
LUBBOCK, TX
NPI
1104984988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX G1757)
Enumeration Date
2006-12-05
Last Update Date
2007-12-14
Business Address
Dr. DIEGO RIVERA MDPA
111 N UNIVERSITY AVE
LUBBOCK, TX 79415-2844
Phone number: 806-747-4415
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Mailing Address
Dr. DIEGO RIVERA MDPA
111 N UNIVERSITY AVE
LUBBOCK, TX 79415-2844
Phone number: 806-747-4415
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