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1093940884
VICTOR PONDECA
TUCSON, AZ
NPI
1093940884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ BH3300)
Enumeration Date
2009-05-21
Last Update Date
2009-05-27
Business Address
Mr. VICTOR PONDECA
9140 E BELLEVUE ST
TUCSON, AZ 85715-5704
Phone number: 520-409-3991
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Mailing Address
Mr. VICTOR PONDECA
9140 E BELLEVUE ST
TUCSON, AZ 85715-5704
Phone number:
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