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1972158954
JORDAN A DIAZ
MILWAUKEE, WI
NPI
1972158954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 9441)
Enumeration Date
2019-08-06
Last Update Date
2021-12-01
Business Address
JORDAN A DIAZ
2801 W KINNICKINNIC RIVER PKWY STE 680
MILWAUKEE, WI 53215-3633
Phone number: 414-385-1922
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Mailing Address
JORDAN A DIAZ
2801 W KINNICKINNIC RIVER PKWY STE 680
MILWAUKEE, WI 53215-3633
Phone number: 414-385-1922
Copy
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