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1376278994
DANIEL MANRIQUEZ
RIO RICO, AZ
NPI
1376278994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 11402661)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
DANIEL MANRIQUEZ
412 PASEO FLAMENCO
RIO RICO, AZ 85648-6515
Phone number: 520-604-5980
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Mailing Address
DANIEL MANRIQUEZ
PO BOX 86537
TUCSON, AZ 85754-6537
Phone number: 520-721-1887
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