LIAM VAN SAMELSON

FORT DEFIANCE, AZ
NPI1982353918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: AZ  044850)
Enumeration Date2022-03-18
Last Update Date2022-03-18
Business Address
LIAM VAN SAMELSON
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
Mailing Address
LIAM VAN SAMELSON
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 602-635-0582
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