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1922376193
ALEXA MARIE DIAZ
PHOENIX, AZ
NPI
1922376193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86002413)
Additional Taxonomies
133N00000X Nutritionist
Enumeration Date
2011-12-02
Last Update Date
2012-10-12
Business Address
Ms. ALEXA MARIE DIAZ RD
635 EAST BASELINE ROAD
PHOENIX, AZ 85042-6551
Phone number: 602-243-7277
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Mailing Address
Ms. ALEXA MARIE DIAZ RD
2702 NORTH 3RD STREET 4020
PHOENIX, AZ 85004-4608
Phone number: 602-323-3407
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