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1326591736
GUMARO DIAZ
MODESTO, CA
NPI
1326591736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
-- GUMARO DIAZ
326 LELAH AVE
MODESTO, CA 95350-4416
Phone number: 408-209-6175
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Mailing Address
-- GUMARO DIAZ
326 LELAH AVE
MODESTO, CA 95350-4416
Phone number: 408-209-6175
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