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1528787355
ALFONSO DIAZ
FAIRFIELD, CA
NPI
1528787355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 141546)
Enumeration Date
2022-08-24
Last Update Date
2023-09-20
Business Address
ALFONSO DIAZ
4820 BUSINESS CENTER DR STE 210
FAIRFIELD, CA 94534-1696
Phone number: 707-224-8266
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Mailing Address
ALFONSO DIAZ
176 COLOMA WAY
VALLEJO, CA 94589-1419
Phone number: 707-534-0409
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