MANUEL SAN AGUSTIN PABLO

PHOENIX, AZ
NPI1588047914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN00165680)
Enumeration Date2015-07-02
Last Update Date2015-07-02
Business Address
-- MANUEL SAN AGUSTIN PABLO
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- MANUEL SAN AGUSTIN PABLO
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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