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1356794150
DAVID RYAN SCHANER
AVONDALE, AZ
NPI
1356794150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: AZ AL10009H)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
DAVID RYAN SCHANER
12533 W COLDWATER SPRINGS BLVD
AVONDALE, AZ 85323-8320
Phone number: 623-466-7673
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Mailing Address
DAVID RYAN SCHANER
12533 W COLDWATER SPRINGS BLVD
AVONDALE, AZ 85323-8320
Phone number: 623-466-7673
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