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1104309152
CARLOS SIFUENTES
AVONDALE, AZ
NPI
1104309152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-30258)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
CARLOS SIFUENTES
10750 W MCDOWELL RD. STE. B-210
AVONDALE, AZ 85323
Phone number: 623-907-0746
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Mailing Address
CARLOS SIFUENTES
10750 W MCDOWELL RD. STE. B-210
AVONDALE, AZ 85323
Phone number: 623-907-0746
Copy
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