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1366951592
MARIO GUTIERREZ
PHOENIX, AZ
NPI
1366951592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LMSW-15863)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
MARIO GUTIERREZ
2060 W WHISPERING WIND DR STE 264
PHOENIX, AZ 85085-2869
Phone number: 602-616-5423
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Mailing Address
MARIO GUTIERREZ
11423 N 112TH AVE
YOUNGTOWN, AZ 85363-1558
Phone number: 602-616-5423
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