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1902678063
ANTHONY DIETEL
TARZANA, CA
NPI
1902678063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
ANTHONY DIETEL
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
ANTHONY DIETEL
18014 SHERMAN WAY APT 123
RESEDA, CA 91335-4649
Phone number:
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