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1083149579
ALBERT ANTHONY URQUIDEZ
GLENDALE, AZ
NPI
1083149579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-04-22
Last Update Date
2017-04-22
Business Address
-- ALBERT ANTHONY URQUIDEZ SFIDC
6769 W LOUISE DR
GLENDALE, AZ 85310-5209
Phone number: 623-302-0507
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Mailing Address
-- ALBERT ANTHONY URQUIDEZ SFIDC
6769 W LOUISE DR
GLENDALE, AZ 85310-5209
Phone number: 623-302-0507
Copy
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