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1720210222
DESMOND L DIAZ
DUNNELLON, FL
NPI
1720210222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA51192)
Enumeration Date
2009-08-17
Last Update Date
2009-08-17
Business Address
Mr. DESMOND L DIAZ
20726 W PENNSYLVANIA AVE
DUNNELLON, FL 34431-6717
Phone number: 352-465-5880
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Mailing Address
Mr. DESMOND L DIAZ
20726 W PENNSYLVANIA AVE
DUNNELLON, FL 34431-6717
Phone number: 352-465-5880
Copy
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