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1598256778
ALEX VICTOR VAICIUS
PHOENIX, AZ
NPI
1598256778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
ALEX VICTOR VAICIUS MD
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
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Mailing Address
ALEX VICTOR VAICIUS MD
1404 E MULBERRY ST
PHOENIX, AZ 85014-5662
Phone number: 630-405-3381
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