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1417309964
PHILLIP DIAZ
LOS ANGELES, CA
NPI
1417309964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-08
Last Update Date
2016-07-08
Business Address
-- PHILLIP DIAZ
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
-- PHILLIP DIAZ
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-421-2243
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