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1265845374
JAMES ANTHONY MCCULLOM
PHOENIX, AZ
NPI
1265845374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- JAMES ANTHONY MCCULLOM
3104 E INDIAN SCHOOL RD #200
PHOENIX, AZ 85016-6889
Phone number: 602-954-9484
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Mailing Address
-- JAMES ANTHONY MCCULLOM
15624 N 172ND DR
SURPRISE, AZ 85388-0239
Phone number: 602-576-9957
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