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1790089928
NANCY DE LA VARA
SOMERTON, AZ
NPI
1790089928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AZ 2571i)
Enumeration Date
2011-01-03
Last Update Date
2013-08-14
Business Address
-- NANCY DE LA VARA
725 E. MAIN ST. SUITE 1C
SOMERTON, AZ 85350-0634
Phone number: 928-627-4525
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Mailing Address
-- NANCY DE LA VARA
PO BOX 634
SOMERTON, AZ 85350-0634
Phone number: 928-627-4525
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