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1437458775
JUAN CARLOS DIAZ
WEST PALM BEACH, FL
NPI
1437458775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
-- JUAN CARLOS DIAZ B.A.
639 MADELINE CT
WEST PALM BEACH, FL 33413-3452
Phone number: 561-531-3242
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Mailing Address
-- JUAN CARLOS DIAZ B.A.
639 MADELINE CT
WEST PALM BEACH, FL 33413-3452
Phone number: 561-531-3242
Copy
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