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1821063819
OZZIE ALEXANDER DIAZ
WEST ORANGE, NJ
NPI
1821063819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00066100)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
Mr. OZZIE ALEXANDER DIAZ MS, ATC
51 CONFORTI AVE
WEST ORANGE, NJ 07052-2829
Phone number: 973-669-5301
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Mailing Address
Mr. OZZIE ALEXANDER DIAZ MS, ATC
115 LAUREL AVE
POMPTON LAKES, NJ 07442-2410
Phone number: 973-835-5858
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