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1144885286
TIMOTHY DIAZ
TERRE HAUTE, IN
NPI
1144885286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IN 02007735A)
Enumeration Date
2019-05-03
Last Update Date
2024-06-18
Business Address
TIMOTHY DIAZ DO
1818 N 6TH ST
TERRE HAUTE, IN 47804-4021
Phone number: 812-232-1123
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Mailing Address
TIMOTHY DIAZ DO
1818 N 6TH ST
TERRE HAUTE, IN 47804-4021
Phone number: 812-232-1123
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