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1174044127
DANIEL FERNANDEZ HERNANDEZ
PHOENIX, AZ
NPI
1174044127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2017-06-29
Last Update Date
2022-07-21
Business Address
DANIEL FERNANDEZ HERNANDEZ
5323 W ODEUM LN
PHOENIX, AZ 85043-6595
Phone number: 480-669-4430
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Mailing Address
DANIEL FERNANDEZ HERNANDEZ
5323 W ODEUM LN
PHOENIX, AZ 85043-6595
Phone number: 480-669-4430
Copy
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