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1629589510
JORGE DIAZ
LONG BEACH, CA
NPI
1629589510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2017-10-18
Last Update Date
2024-10-14
Business Address
Mr. JORGE DIAZ
3545 LONG BEACH BLVD
LONG BEACH, CA 90807-3941
Phone number: 562-490-7600
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Mailing Address
Mr. JORGE DIAZ
3545 LONG BEACH BLVD
LONG BEACH, CA 90807-3941
Phone number: 562-490-7600
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