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1972738995
ALEX K. MIZAN
PHOENIX, AZ
NPI
1972738995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 26-4771263)
Enumeration Date
2009-05-19
Last Update Date
2021-05-03
Business Address
ALEX K. MIZAN
5643 N. 37TH AVE
PHOENIX, AZ 85019-4506
Phone number: 602-301-1240
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Mailing Address
ALEX K. MIZAN
5643 N. 37TH AVE
PHOENIX, AZ 85019-4506
Phone number: 602-301-1240
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