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1811656911
DIANE MANTOS
FAIRFAX, VA
NPI
1811656911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse Case Management
(Licence: VA 0001105385)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
MRS. DIANE MANTOS RN, BSN, CCM
12150 MONUMENT DR
FAIRFAX, VA 22033-4051
Phone number: 757-270-2452
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Mailing Address
MRS. DIANE MANTOS RN, BSN, CCM
1391 NW 136TH AVE
SUNRISE, FL 33323-2800
Phone number: 757-270-2452
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