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1134749872
ALFONSO TADEUS ZAVALA
TUCSON, AZ
NPI
1134749872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ D10537387)
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
ALFONSO TADEUS ZAVALA
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-694-0111
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Mailing Address
ALFONSO TADEUS ZAVALA
1025 N EUCLID AVE
TUCSON, AZ 85719-4411
Phone number: 970-764-5613
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