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1528215746
LUKE ANTON VIRES
PHOENIX, AZ
NPI
1528215746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ 4202)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
Mr. LUKE ANTON VIRES cota
10730 W CAMPBELL AVE
PHOENIX, AZ 85037-5400
Phone number: 623-772-2580
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Mailing Address
Mr. LUKE ANTON VIRES cota
10730 W CAMPBELL AVE
PHOENIX, AZ 85037-5400
Phone number: 623-772-2580
Copy
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