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1790539484
CONNOR NELSON FORDHAM
PHOENIX, AZ
NPI
1790539484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
CONNOR NELSON FORDHAM DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 801-599-6392
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Mailing Address
CONNOR NELSON FORDHAM DO
3100 N CENTRAL AVE
PHOENIX, AZ 85012-2637
Phone number:
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