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1831657691
MIRZA DIAZ-GONZALEZ
ENFIELD, CT
NPI
1831657691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CT 034298)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
MIRZA DIAZ-GONZALEZ
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-253-5020
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Mailing Address
MIRZA DIAZ-GONZALEZ
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-697-3351
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