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1457994303
ANTHONY BRYAN DIAZ
GLENDALE, CA
NPI
1457994303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-23
Last Update Date
2022-11-01
Business Address
ANTHONY BRYAN DIAZ
201 N BRAND BLVD OFC 233
GLENDALE, CA 91203-3588
Phone number: 818-722-1770
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Mailing Address
ANTHONY BRYAN DIAZ
201 N BRAND BLVD OFC 233
GLENDALE, CA 91203-3588
Phone number: 818-722-1770
Copy
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