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1013235274
MITCHEL CARL FATOVICH
TUCSON, AZ
NPI
1013235274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: AZ 2187120)
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
-- MITCHEL CARL FATOVICH
3612 S FRICK AVE
TUCSON, AZ 85730-2705
Phone number: 520-955-4383
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Mailing Address
-- MITCHEL CARL FATOVICH
3612 S FRICK AVE
TUCSON, AZ 85730-2705
Phone number: 520-955-4383
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