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Individual

DIAMOND OLIPHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4502 S HARDY DR APT 162, TEMPE, AZ 85282-6443
(414) 378-6832
Mailing address
4502 S HARDY DR APT 162, TEMPE, AZ 85282-6443
(414) 378-6832

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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Product
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