SAMUEL E CORDIVIN

FLAGSTAFF, AZ
NPI1770888281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: AZ  15727)
Enumeration Date2011-01-13
Last Update Date2011-01-13
Business Address
-- SAMUEL E CORDIVIN R.T.
3480 E ROUTE 66
FLAGSTAFF, AZ 86004-4032
Phone number: 928-863-7333
Mailing Address
-- SAMUEL E CORDIVIN R.T.
3860 E SIOUX DR 11A
FLAGSTAFF, AZ 86001-6668
Phone number: 928-640-0337
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