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Individual
MR. JESUS EDGARDO DIAZ
Active
Individual
MR. JESUS EDGARDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
SU28604
FL
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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