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1255895710
LATANE DIAZ
AUGUSTA, GA
NPI
1255895710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: GA 21130)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
Mrs. LATANE DIAZ RN
597 BRIGHAM TRL
AUGUSTA, GA 30909-6060
Phone number: 706-288-9256
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Mailing Address
Mrs. LATANE DIAZ RN
597 BRIGHAM TRL
AUGUSTA, GA 30909-6060
Phone number: 706-288-9256
Copy
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