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1518791540
LUIS FERNANDO PEREZ
SIERRA VISTA, AZ
NPI
1518791540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ 22873)
Enumeration Date
2024-08-30
Last Update Date
2024-09-05
Business Address
LUIS FERNANDO PEREZ LAC
174 S CORONADO DR STE B
SIERRA VISTA, AZ 85635-6356
Phone number: 520-770-9745
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Mailing Address
LUIS FERNANDO PEREZ LAC
1077 MONTE VISTA AVE
SIERRA VISTA, AZ 85635-8269
Phone number: 520-686-1689
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