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1598163693
KEVIN ALLEN DIAZ
SACRAMENTO, CA
NPI
1598163693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
Mr. KEVIN ALLEN DIAZ
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-5769
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Mailing Address
Mr. KEVIN ALLEN DIAZ
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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