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Individual

DANIEL MIRELES GUERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RTT

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8829
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
001072
NY

Other

Enumeration date
07/13/2011
Last updated
07/13/2011
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