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1902447469
MICHELLE DIAZ
CHICAGO, IL
NPI
1902447469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
225200000X Physical Therapy Assistant
Enumeration Date
2019-10-04
Last Update Date
2020-04-16
Business Address
MICHELLE DIAZ PTA
3309 N OCONTO AVE
CHICAGO, IL 60634-3536
Phone number: 773-895-0753
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Mailing Address
MICHELLE DIAZ PTA
3309 N OCONTO AVE
CHICAGO, IL 60634-3536
Phone number: 773-895-0753
Copy
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