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1891524740
VIDAL MATEO MENDOZA
POLACCA, AZ
NPI
1891524740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID 2961463)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
VIDAL MATEO MENDOZA
HIGHWAY 264 MILE POST 388
POLACCA, AZ 86042
Phone number: 928-737-6000
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Mailing Address
VIDAL MATEO MENDOZA
PO BOX 1081
KEAMS CANYON, AZ 86034-1081
Phone number: 210-803-4703
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