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1447013446
JADON LEE DIAZ
EAST STROUDSBURG, PA
NPI
1447013446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT008443)
Enumeration Date
2024-02-01
Last Update Date
2024-07-24
Business Address
JADON LEE DIAZ
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 484-547-2626
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Mailing Address
JADON LEE DIAZ
5511 STONECROFT LN
ALLENTOWN, PA 18106-9177
Phone number: 484-547-2626
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