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Individual
LOUIS DIAMOND
Active
Individual
LOUIS DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00456500
NJ
363A00000X
Physician Assistant
Primary
PA9113658
FL
Other
Enumeration date
11/28/2017
Last updated
07/27/2021
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