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1871818492
STACY TALAHYTEWA
POLACCA, AZ
NPI
1871818492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: AZ CRT-10799)
Enumeration Date
2010-04-07
Last Update Date
2010-04-07
Business Address
Mr. STACY TALAHYTEWA RT(R)
HWY 264 MILE POST 388
POLACCA, AZ 86042
Phone number: 928-737-6210
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Mailing Address
Mr. STACY TALAHYTEWA RT(R)
PO BOX 1019
POLACCA, AZ 86042-1019
Phone number: 928-734-9450
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