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1679012959
DIANA I DIAZ
BRIDGEWATER, NJ
NPI
1679012959
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Former Name
DIANA I MEJIA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00312000)
Enumeration Date
2017-02-19
Last Update Date
2017-02-19
Business Address
-- DIANA I DIAZ
111 FINDERNE AVE
BRIDGEWATER, NJ 08807-3100
Phone number: 908-722-4140
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Mailing Address
-- DIANA I DIAZ
111 FINDERNE AVE
BRIDGEWATER, NJ 08807-3100
Phone number: 908-722-4140
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