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1629036520
DORTHEA F DIAZ
DOTHAN, AL
NPI
1629036520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL I-040977)
Enumeration Date
2006-05-02
Last Update Date
2007-11-27
Business Address
-- DORTHEA F DIAZ CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
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Mailing Address
-- DORTHEA F DIAZ CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087
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