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1578987236
LUIS DIAZ
SAN BERNARDINO, CA
NPI
1578987236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
-- LUIS DIAZ
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 760-922-8625
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Mailing Address
-- LUIS DIAZ
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 760-922-8625
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