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Individual
NICOLAS LOPEZ DIAZ
Active
Individual
NICOLAS LOPEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2003476
PR
3416L0300X
Land Ambulance
Primary
TCAMB457
PR
Other
Enumeration date
06/12/2007
Last updated
06/20/2008
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