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1932761228
MARIO VINCENT DIAZ
PHOENIX, AZ
NPI
1932761228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 30719)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
MARIO VINCENT DIAZ DPT
20045 N 19TH AVE BLDG 8
PHOENIX, AZ 85027-4267
Phone number: 623-594-9034
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Mailing Address
MARIO VINCENT DIAZ DPT
20045 N 19TH AVE BLDG 8
PHOENIX, AZ 85027-4267
Phone number: 623-594-9034
Copy
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