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1396260055
GILBERT THEODORE DIAZ
NORTH HOLLYWOOD, CA
NPI
1396260055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-03
Last Update Date
2022-07-21
Business Address
Mr. GILBERT THEODORE DIAZ
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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Mailing Address
Mr. GILBERT THEODORE DIAZ
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
Copy
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