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1902656838
CLINNT LUNA FAVO
NEWPORT NEWS, VA
NPI
1902656838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-26
Business Address
Dr. CLINNT LUNA FAVO DO
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601-1929
Phone number: 757-612-7277
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Mailing Address
Dr. CLINNT LUNA FAVO DO
20000 N 57TH AVE RM D102
GLENDALE, AZ 85308-6837
Phone number: 619-823-0338
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