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1245610658
ALWIN A DIAZ
KENOSHA, WI
NPI
1245610658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 6367-33)
Enumeration Date
2015-06-02
Last Update Date
2016-01-07
Business Address
-- ALWIN A DIAZ N.P.
7201 GREEN BAY RD
KENOSHA, WI 53142-3532
Phone number: 262-432-2352
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Mailing Address
-- ALWIN A DIAZ N.P.
1675 N BARKER RD
BROOKFIELD, WI 53045-5200
Phone number: 414-755-4898
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