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1972857704
SUSANA DIAZ
SOUTH BEND, IN
NPI
1972857704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IN 09000225A)
Enumeration Date
2012-10-31
Last Update Date
2021-04-01
Business Address
Mrs. SUSANA DIAZ CNM
621 MEMORIAL DR STE 403
SOUTH BEND, IN 46601-1074
Phone number: 574-647-1405
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Mailing Address
Mrs. SUSANA DIAZ CNM
710 N. NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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