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1912660440
EDGAR D CORNEJO
GOODYEAR, AZ
NPI
1912660440
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Other Name
EDGAR DE JESUS CORNEJO LOMELI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PR 1100-P.A.)
Enumeration Date
2021-10-21
Last Update Date
2022-01-11
Business Address
EDGAR D CORNEJO Physician Assistant
14175 W INDIAN SCHOOL RD STE B4-120
GOODYEAR, AZ 85395-8407
Phone number: 956-222-7774
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Mailing Address
EDGAR D CORNEJO Physician Assistant
14175 W INDIAN SCHOOL RD STE B4-120
GOODYEAR, AZ 85395-8407
Phone number: 956-222-7774
Copy
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