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1235861584
LORENZO CARLOS
FORT DEFIANCE, AZ
NPI
1235861584
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Former Name
LORENZO CARLOS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: NM RCP4207)
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
LORENZO CARLOS RRT
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86505-0649
Phone number: 928-729-8000
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Mailing Address
LORENZO CARLOS RRT
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number:
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