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1164460697
MARIO DIAZ
SALEM, OR
NPI
1164460697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR PA057229)
Enumeration Date
2006-06-04
Last Update Date
2010-01-18
Business Address
-- MARIO DIAZ P.A.
2020 CAPITOL ST NE
SALEM, OR 97303-3244
Phone number: 503-399-2424
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Mailing Address
-- MARIO DIAZ P.A.
PO BOX 8100
SALEM, OR 97303-0900
Phone number: 503-399-2424
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