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1144479718
SERGIO XAVIER SANTOS
PHOENIX, AZ
NPI
1144479718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-1627)
Enumeration Date
2008-09-18
Last Update Date
2019-01-03
Business Address
Mr. SERGIO XAVIER SANTOS BA, LISAC
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015
Phone number: 602-589-0500
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Mailing Address
Mr. SERGIO XAVIER SANTOS BA, LISAC
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015-2451
Phone number: 602-589-0500
Copy
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