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1255064549
JOANN DIAZ
PLYMOUTH, CT
NPI
1255064549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 00)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
JOANN DIAZ
86 WATCH TOWER RD
PLYMOUTH, CT 06782-2811
Phone number: 860-485-4931
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Mailing Address
JOANN DIAZ
86 WATCH TOWER RD
PLYMOUTH, CT 06782-2811
Phone number: 860-485-4931
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