LUKE ANTON VIRES

PHOENIX, AZ
NPI1528215746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  4202)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
Mr. LUKE ANTON VIRES cota
10730 W CAMPBELL AVE
PHOENIX, AZ 85037-5400
Phone number: 623-772-2580
Mailing Address
Mr. LUKE ANTON VIRES cota
10730 W CAMPBELL AVE
PHOENIX, AZ 85037-5400
Phone number: 623-772-2580
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