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1215644000
ANDREW RIVERA
TUCSON, AZ
NPI
1215644000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: AZ 7616B)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
Mr. ANDREW RIVERA PTA
2250 N CRAYCROFT RD
TUCSON, AZ 85712-2802
Phone number: 520-733-8700
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Mailing Address
Mr. ANDREW RIVERA PTA
5621 E WATER ST
TUCSON, AZ 85712-2240
Phone number: 520-576-8445
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