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1790028785
STACY XIOMARA DIAZ
LOS ANGELES, CA
NPI
1790028785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 247657)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- STACY XIOMARA DIAZ
5425 POMONA BLVD
LOS ANGELES, CA 90022-1716
Phone number: 323-728-0411
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Mailing Address
-- STACY XIOMARA DIAZ
5425 POMONA BLVD
LOS ANGELES, CA 90022-1716
Phone number: 323-728-0411
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