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1326312034
RODRIGO DIAZ
PERRIS, CA
NPI
1326312034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
-- RODRIGO DIAZ
2055 N PERRIS BLVD STE G
PERRIS, CA 92571-2509
Phone number: 951-216-7300
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Mailing Address
-- RODRIGO DIAZ
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-216-7300
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