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1821688326
TIANA MARIE DIAZ
LANCASTER, CA
NPI
1821688326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1412371220)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
Miss TIANA MARIE DIAZ
3224 W AVENUE J2
LANCASTER, CA 93536-6171
Phone number: 661-917-3696
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Mailing Address
Miss TIANA MARIE DIAZ
3224 W AVENUE J2
LANCASTER, CA 93536-6171
Phone number: 661-917-3696
Copy
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