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1689915415
KRYSTLE MARIE DIAZ
LAKE CHARLES, LA
NPI
1689915415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07247)
Enumeration Date
2013-03-04
Last Update Date
2013-03-04
Business Address
-- KRYSTLE MARIE DIAZ APRN, FNP
217 SAM HOUSTON JONES PKWY SUITE 101
LAKE CHARLES, LA 70611-5644
Phone number: 337-217-1000
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Mailing Address
-- KRYSTLE MARIE DIAZ APRN, FNP
1437 CLARK CT
LAKE CHARLES, LA 70611-3528
Phone number: 337-802-5800
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