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1073553632
IVAN F PACHECO
TUBA CITY, AZ
NPI
1073553632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D6669)
Enumeration Date
2006-06-08
Last Update Date
2009-03-31
Business Address
-- IVAN F PACHECO DMD
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- IVAN F PACHECO DMD
PO BOX 600 167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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