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1386298974
EDGAR VALENCIA
YUMA, AZ
NPI
1386298974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 0TA-046608)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
EDGAR VALENCIA
450 W 6TH ST
YUMA, AZ 85364-2973
Phone number: 928-502-4300
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Mailing Address
EDGAR VALENCIA
550 E ROBIN LN APT 23
YUMA, AZ 85365-2856
Phone number: 928-261-7235
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