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1821742461
JESUS EDUARDO SANDOVAL
SCOTTSDALE, AZ
NPI
1821742461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: AZ LP054802)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
JESUS EDUARDO SANDOVAL
617 N SCOTTSDALE RD STE D
SCOTTSDALE, AZ 85257-4207
Phone number: 480-990-3720
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Mailing Address
JESUS EDUARDO SANDOVAL
2529 W CACTUS RD APT 3014
PHOENIX, AZ 85029-2588
Phone number: 623-853-6282
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