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1376909838
GERALD DIAZ SANDOVAL
FRESNO, CA
NPI
1376909838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
-- GERALD DIAZ SANDOVAL
1630 E SHAW AVE STE 150
FRESNO, CA 93710-8109
Phone number: 559-909-4355
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Mailing Address
-- GERALD DIAZ SANDOVAL
1630 E SHAW AVE #150
FRESNO, CA 93710-8105
Phone number: 559-909-4355
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