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1437811692
JUSTIN DIAZ
WAIPAHU, HI
NPI
1437811692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI PT-4670)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
JUSTIN DIAZ PT
94-1420 KULEWA LOOP APT E
WAIPAHU, HI 96797-4618
Phone number: 808-796-7968
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Mailing Address
JUSTIN DIAZ PT
94-1420 KULEWA LOOP APT E
WAIPAHU, HI 96797-4618
Phone number: 808-796-7968
Copy
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