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1225529704
HECTOR MANUEL DIAZ
ROCHESTER, NY
NPI
1225529704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 10914)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
HECTOR MANUEL DIAZ CASAC #10914
585 JOSEPH AVE FL 1
ROCHESTER, NY 14605-1215
Phone number: 585-325-4910
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Mailing Address
HECTOR MANUEL DIAZ CASAC #10914
152 BADEN ST FL 1
ROCHESTER, NY 14605-2054
Phone number: 585-325-4910
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