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1548393085
DIEDRICK JOSEPH
ALTADENA, CA
NPI
1548393085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- DIEDRICK JOSEPH
2933 EL NIDO DR
ALTADENA, CA 91001-4529
Phone number: 626-395-7100
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Mailing Address
-- DIEDRICK JOSEPH
2933 EL NIDO DR
ALTADENA, CA 91001-4529
Phone number: 626-395-7100
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