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1811754880
JESUS DIAZ VARGAS
HIALEAH, FL
NPI
1811754880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCM.0106500-P)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
JESUS DIAZ VARGAS
202 E 17TH ST
HIALEAH, FL 33010-3138
Phone number: 786-782-5653
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Mailing Address
JESUS DIAZ VARGAS
202 E 17TH ST
HIALEAH, FL 33010-3138
Phone number: 786-782-5653
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