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1831811157
DEREK DIAZ
ONTARIO, CA
NPI
1831811157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95021897)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
DEREK DIAZ NP
2821 S CASCADES TRL
ONTARIO, CA 91761-7234
Phone number: 909-732-0197
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Mailing Address
DEREK DIAZ NP
2821 S CASCADES TRL
ONTARIO, CA 91761-7234
Phone number: 909-732-0197
Copy
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