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1245803170
MAYNOR DIAZ
SANTA FE SPRINGS, CA
NPI
1245803170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
MAYNOR DIAZ
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
MAYNOR DIAZ
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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