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1659708287
VICENTE O. ENCISO
GLENDALE, AZ
NPI
1659708287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 5589A)
Enumeration Date
2013-09-27
Last Update Date
2013-09-27
Business Address
Mr. VICENTE O. ENCISO
8611 N 67TH AVE
GLENDALE, AZ 85302-4351
Phone number: 623-939-9475
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Mailing Address
Mr. VICENTE O. ENCISO
11721 W JEFFERSON ST
AVONDALE, AZ 85323-1195
Phone number: 623-313-4655
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