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1659686012
LOREN DARRESS VICTOR
SAN CARLOS, AZ
NPI
1659686012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: AZ 8173)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
-- LOREN DARRESS VICTOR CRT
RT. 6 MP 1.8
SAN CARLOS, AZ 85550-1352
Phone number: 480-338-1419
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Mailing Address
-- LOREN DARRESS VICTOR CRT
PO BOX 1352 INDIAN ROUTE 6 MP 1.8
SAN CARLOS, AZ 85550-1352
Phone number: 480-338-1419
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