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1306378260
EDGAR DIAZ
FAIRFIELD, CA
NPI
1306378260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-03-30
Last Update Date
2023-07-27
Business Address
EDGAR DIAZ
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-1133
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Mailing Address
EDGAR DIAZ
532 HASTINGS DR
BENICIA, CA 94510-1326
Phone number:
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