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1780704734
CARLOS ALFONSO VILLANUEVA DEL RIO
PHOENIX, AZ
NPI
1780704734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2088P0231X
(Licence: AZ 57907)
Additional Taxonomies
2088P0231X
(Licence: NE 26995)
Enumeration Date
2007-03-30
Last Update Date
2019-08-23
Business Address
CARLOS ALFONSO VILLANUEVA DEL RIO M.D.
1920 E CAMBRIDGE AVE STE 302
PHOENIX, AZ 85006-1464
Phone number: 602-933-5200
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Mailing Address
CARLOS ALFONSO VILLANUEVA DEL RIO M.D.
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1813
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