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1740701333
JOSE DIAZ
ORLANDO, FL
NPI
1740701333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
JOSE DIAZ
1002 N SEMORAN BLVD
ORLANDO, FL 32807-3531
Phone number: 407-275-8939
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Mailing Address
JOSE DIAZ
1002 N SEMORAN BLVD
ORLANDO, FL 32807-3531
Phone number: 407-275-8939
Copy
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