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1952047037
DIEGO PRENTICE-WEBB
HOLLYWOOD, FL
NPI
1952047037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
DIEGO PRENTICE-WEBB MD
3501 JOHNSON ST
HOLLYWOOD, FL 33021-5421
Phone number: 954-987-2000
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Mailing Address
DIEGO PRENTICE-WEBB MD
5320 N SHERIDAN RD APT 2307
CHICAGO, IL 60640-7351
Phone number: 774-823-0687
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