MARCO ANTONIO VIDAURRI

FORT DEFIANCE, AZ
NPI1891097481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  48901)
Enumeration Date2010-12-02
Last Update Date2010-12-02
Business Address
Dr. MARCO ANTONIO VIDAURRI PHARMD
INTERSECTIONS N7 & N12
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8328
Mailing Address
Dr. MARCO ANTONIO VIDAURRI PHARMD
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8328
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