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1164060398
AMBER DIAZ
BURBANK, CA
NPI
1164060398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: CA 41111)
Enumeration Date
2019-12-18
Last Update Date
2019-12-18
Business Address
AMBER DIAZ
1820 W VERDUGO AVE # 9692
BURBANK, CA 91506-2150
Phone number: 747-261-7747
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Mailing Address
AMBER DIAZ
11605 N LAMAR BLVD
AUSTIN, TX 78753-2658
Phone number: 737-222-6996
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