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1255455598
ISMAEL DIAZ
FRESNO, CA
NPI
1255455598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-19
Last Update Date
2024-01-29
Business Address
ISMAEL DIAZ
1690 W SHAW AVE STE 201
FRESNO, CA 93711-3519
Phone number: 559-334-6442
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Mailing Address
ISMAEL DIAZ
1690 W SHAW AVE STE 201
FRESNO, CA 93711-3519
Phone number: 559-334-6442
Copy
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