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1417558206
ELIJAH ROBLES LAZO
PHOENIX, AZ
NPI
1417558206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 31385)
Enumeration Date
2020-11-06
Last Update Date
2024-06-04
Business Address
Dr. ELIJAH ROBLES LAZO DPT
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
Dr. ELIJAH ROBLES LAZO DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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