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1972143576
DIANA LUZ DAVID
ROCKFORD, IL
NPI
1972143576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-01-10
Last Update Date
2020-01-13
Business Address
DIANA LUZ DAVID MD
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-8990
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Mailing Address
DIANA LUZ DAVID MD
24703 RAVENNA AVE
CARSON, CA 90745-6441
Phone number: 310-819-5077
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