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Individual

MR. ANTHONY DARRYL CONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
127 W HAYDEN PARK RD, SAN TAN VALLEY, AZ 85143-6079
(623) 565-2716
Mailing address
127 W HAYDEN PARK RD, SAN TAN VALLEY, AZ 85143-6079
(623) 565-2716

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
172A00000X
Driver
Primary
347E00000X
Transportation Broker

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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