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1700465507
DANIEL RAUL DIAZ
SAN BERNARDINO, CA
NPI
1700465507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10956)
Enumeration Date
2021-04-07
Last Update Date
2023-09-28
Business Address
DANIEL RAUL DIAZ
820 E GILBERT ST
SAN BERNARDINO, CA 92415-2316
Phone number: 909-386-8510
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Mailing Address
DANIEL RAUL DIAZ
820 E GILBERT ST
SAN BERNARDINO, CA 92415-0928
Phone number: 909-387-7757
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