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1225893688
KRISTAL DIAZ
BELLEVILLE, NJ
NPI
1225893688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26nk14992500)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
KRISTAL DIAZ NP
195 CORTLANDT ST
BELLEVILLE, NJ 07109-3128
Phone number: 973-759-1221
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Mailing Address
KRISTAL DIAZ NP
578 21ST AVE APT 1
PATERSON, NJ 07513-1373
Phone number: 201-466-8250
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