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1174808604
VANESSA DIAZ
TAMPA, FL
NPI
1174808604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
(Licence: FL 232135)
Enumeration Date
2011-10-16
Last Update Date
2011-10-16
Business Address
-- VANESSA DIAZ
9738 MONTAGUE ST
TAMPA, FL 33626-1868
Phone number: 813-298-8778
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Mailing Address
-- VANESSA DIAZ
9738 MONTAGUE ST
TAMPA, FL 33626-1868
Phone number: 813-298-8778
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