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1245435551
JESUS DIAZ
GARDENA, CA
NPI
1245435551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- JESUS DIAZ
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
-- JESUS DIAZ
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number:
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