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Individual

MR. ANTONIO RASCON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.N

Contact information

Practice address
6626 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 298-1650
(520) 298-2038
Mailing address
6626 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 298-1650
(520) 298-2038

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP000033011
AZ

Other

Enumeration date
08/26/2013
Last updated
08/26/2013
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