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Organization

LIBERTY ENTERPRISES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS RONALD DIAZ PT (PT)
(509) 431-8943
Entity
Organization

Contact information

Practice address
5227 ROAD K NE, MOSES LAKE, WA 98837-9038
(509) 431-8943
Mailing address
5227 ROAD K NE, MOSES LAKE, WA 98837-9038

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
11/02/2020
Last updated
11/02/2020
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