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1821551466
XAVIER RODRIGO DIAZ
FAIRFIELD, CA
NPI
1821551466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1341600319)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
Mr. XAVIER RODRIGO DIAZ Counselor
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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Mailing Address
Mr. XAVIER RODRIGO DIAZ Counselor
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
Copy
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