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Individual
PAUL DIAZ
Active
Individual
PAUL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CG60630674
WA
225700000X
Massage Therapist
Primary
MA61162860
WA
Other
Enumeration date
05/18/2016
Last updated
08/15/2022
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