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1508482027
JUAN CARLOS DIAZ
CHICAGO, IL
NPI
1508482027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL 238000684)
Enumeration Date
2020-06-20
Last Update Date
2020-06-20
Business Address
Mr. JUAN CARLOS DIAZ CSA
1433 W FLOURNOY ST APT 3F
CHICAGO, IL 60607-3213
Phone number: 786-658-0280
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Mailing Address
Mr. JUAN CARLOS DIAZ CSA
1433 W FLOURNOY ST APT 3F
CHICAGO, IL 60607-3213
Phone number: 786-658-0280
Copy
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