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1841599404
RYAN M DIAZ
SAN DIEGO, CA
NPI
1841599404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA e5131)
Enumeration Date
2011-03-22
Last Update Date
2019-09-25
Business Address
RYAN M DIAZ D.P.M
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7147
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Mailing Address
RYAN M DIAZ D.P.M
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-605-7147
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