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1184886038
DIANA DE FIESTA CAPARAS
ELLICOTT CITY, MD
NPI
1184886038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.015550)
Enumeration Date
2008-07-01
Last Update Date
2008-12-19
Business Address
-- DIANA DE FIESTA CAPARAS PT
3290 N RIDGE RD SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-750-9006
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Mailing Address
-- DIANA DE FIESTA CAPARAS PT
10409 MENARD AVE APT 208
OAK LAWN, IL 60453-4479
Phone number: 815-980-5340
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