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1831958222
OMAR ALEXANDER CADENAS DIAZ
FORT PIERCE, FL
NPI
1831958222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
OMAR ALEXANDER CADENAS DIAZ DO
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554
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Mailing Address
OMAR ALEXANDER CADENAS DIAZ DO
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554
Copy
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