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1811136658
ALICIA MODICA
MARICOPA, AZ
NPI
1811136658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: AZ 14N00000X)
Enumeration Date
2009-02-18
Last Update Date
2009-02-18
Business Address
-- ALICIA MODICA
45012 W HONEYCUTT AVE
MARICOPA, AZ 85239-2842
Phone number: 520-560-5100
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Mailing Address
-- ALICIA MODICA
45012 W HONEYCUTT AVE
MARICOPA, AZ 85239-2842
Phone number: 520-568-5100
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