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1942559323
MARIO ELENO DE CASTRO CORDERO
SAN TAN VALLEY, AZ
NPI
1942559323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ F0812566)
Enumeration Date
2012-08-31
Last Update Date
2019-05-29
Business Address
MARIO ELENO DE CASTRO CORDERO FNP-C
287 E HUNT HWY SUITE 105
SAN TAN VALLEY, AZ 85143-5095
Phone number: 480-677-8282
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Mailing Address
MARIO ELENO DE CASTRO CORDERO FNP-C
4600 S MILL AVE SUITE 280
TEMPE, AZ 85282-6757
Phone number: 480-305-2888
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