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1386268761
LUIS ANTONIO DIAZ
LOS ANGELES, CA
NPI
1386268761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
LUIS ANTONIO DIAZ
1325 N WESTERN AVE
LOS ANGELES, CA 90027-5615
Phone number: 323-461-3131
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Mailing Address
LUIS ANTONIO DIAZ
1325 N WESTERN AVE
LOS ANGELES, CA 90027-5615
Phone number: 323-461-3131
Copy
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