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1982161691
JAVIER A DIAZ
BARSTOW, CA
NPI
1982161691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-02-28
Last Update Date
2022-11-08
Business Address
Mr. JAVIER A DIAZ
222 E MAIN ST STE 117
BARSTOW, CA 92311-2365
Phone number: 951-463-3419
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Mailing Address
Mr. JAVIER A DIAZ
13937 CUYAMACA RD
APPLE VALLEY, CA 92307-5904
Phone number: 951-463-3419
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