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1588184139
KIM DIAZ
FORT WAYNE, IN
NPI
1588184139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: IN 28149783A)
Enumeration Date
2017-06-26
Last Update Date
2023-10-12
Business Address
KIM DIAZ
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
KIM DIAZ
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number:
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