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1245613553
RUMEN ANTONIEV PETKOV
GLENDALE, AZ
NPI
1245613553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-007999)
Enumeration Date
2015-07-06
Last Update Date
2021-08-23
Business Address
RUMEN ANTONIEV PETKOV OT
5168 W AUGUSTA AVE
GLENDALE, AZ 85301-1469
Phone number: 651-442-5094
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Mailing Address
RUMEN ANTONIEV PETKOV OT
5168 W AUGUSTA AVE
GLENDALE, AZ 85301-1469
Phone number: 651-442-5094
Copy
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