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1295430171
AGUSTIN PERALTA HERBER
PHOENIX, AZ
NPI
1295430171
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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
2023-03-31
Last Update Date
2023-03-31
Business Address
Dr. AGUSTIN PERALTA HERBER DO
1441 N 12TH ST FL 2
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
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Mailing Address
Dr. AGUSTIN PERALTA HERBER DO
11369 W FOLSOM POINT DR
MARANA, AZ 85658-4935
Phone number: 520-870-8574
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