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1710254347
JOSE CRUZ DIAZ
LA MESA, CA
NPI
1710254347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- JOSE CRUZ DIAZ
8376 HERCULES ST
LA MESA, CA 91942-2902
Phone number: 858-688-9141
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Mailing Address
-- JOSE CRUZ DIAZ
8376 HERCULES ST
LA MESA, CA 91942-2902
Phone number: 858-688-9141
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