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1780691022
JORGE LUIS DIAZ
WEST PALM BEACH, FL
NPI
1780691022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP1228482)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- JORGE LUIS DIAZ CRNA
1500 N DIXIE HWY STE 103
WEST PALM BEACH, FL 33401-2712
Phone number: 561-833-8893
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Mailing Address
-- JORGE LUIS DIAZ CRNA
PO BOX 16068
HIGH POINT, NC 27261-6068
Phone number: 888-478-1253
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