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1235882820
LUIS DIAZ MENDOZA
SANTA ROSA, CA
NPI
1235882820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
LUIS DIAZ MENDOZA
1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401-7121
Phone number: 707-568-2300
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Mailing Address
LUIS DIAZ MENDOZA
630 ROHNERT PARK EXPY W APT 270
ROHNERT PARK, CA 94928-7978
Phone number:
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