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1619672045
KATRINA LUPE DIAZ
INDIO, CA
NPI
1619672045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-04-04
Last Update Date
2024-01-12
Business Address
KATRINA LUPE DIAZ
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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Mailing Address
KATRINA LUPE DIAZ
37188 MELROSE DR APT 1
CATHEDRAL CITY, CA 92234-7755
Phone number:
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