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Individual

BRIAN PONDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14139 E PLACITA ADAMAR, VAIL, AZ 85641-2190
(623) 670-6242
Mailing address
14139 E PLACITA ADAMAR, VAIL, AZ 85641-2190
(623) 670-6242

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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