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1174109755
ROBERT MIGUEL DIAZ
PHOENIX, AZ
NPI
1174109755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-31686)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
ROBERT MIGUEL DIAZ DPT
12808 N BLACK CANYON HWY
PHOENIX, AZ 85029-1346
Phone number: 602-375-1155
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Mailing Address
ROBERT MIGUEL DIAZ DPT
4728 N 15TH ST APT 142
PHOENIX, AZ 85014-3774
Phone number: 520-431-6341
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