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1467847103
RAFAEL MIGUEL DIAZ
SANTA ROSA, CA
NPI
1467847103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY26377)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
Dr. RAFAEL MIGUEL DIAZ Ph.D.
1144 SONOMA AVE SUITE 104
SANTA ROSA, CA 95405-4812
Phone number: 415-420-1576
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Mailing Address
Dr. RAFAEL MIGUEL DIAZ Ph.D.
1144 SONOMA AVE SUITE 104
SANTA ROSA, CA 95405-4812
Phone number: 415-420-1576
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