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1740206176
DENNIS MARK DIAZ
LEWISTON, ID
NPI
1740206176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-429)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
Dr. DENNIS MARK DIAZ D.C.
2624 SUNSET DR
LEWISTON, ID 83501-3443
Phone number: 208-743-0472
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Mailing Address
Dr. DENNIS MARK DIAZ D.C.
2624 SUNSET DR
LEWISTON, ID 83501-3443
Phone number: 208-743-0472
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