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1255519773
OSVALDO DIAZ
CAMP PENDLETON, CA
NPI
1255519773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mrs. OSVALDO DIAZ
3D BATTALION 1ST MAR BATTALION AID STATION BOX 555422
CAMP PENDLETON, CA 92055
Phone number: 760-763-0565
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Mailing Address
Mrs. OSVALDO DIAZ
234 RANCHO DEL ORO DR APT 100
OCEANSIDE, CA 92057-7308
Phone number: 760-763-0565
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