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1548820020
AMANDA LEAL DIAZ
APO, AE
NPI
1548820020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT85615)
Enumeration Date
2019-06-18
Last Update Date
2024-07-10
Business Address
AMANDA LEAL DIAZ MS, RD, LD
39TH MEDICAL GROUP UNIT 7095
APO, AE 09824-5185
Phone number: 314-676-8761
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Mailing Address
AMANDA LEAL DIAZ MS, RD, LD
509 MITCHELL BLVD BLDG 375
LAUGHLIN AFB, TX 78840
Phone number: 830-298-6407
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