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1245977297
FREDERICK PETER ALT
GOODYEAR, AZ
NPI
1245977297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
FREDERICK PETER ALT
13677 W MCDOWELL RD
GOODYEAR, AZ 85395-2635
Phone number: 623-848-5612
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Mailing Address
FREDERICK PETER ALT
8426 N CENTRAL AVE UNIT E
PHOENIX, AZ 85020-3535
Phone number: 563-451-3786
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