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Individual

MARIO ALBERTO FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
N7, CORNER OF ROUTES N12, FORT DEFIANCE, AZ 86504
(480) 236-0677
Mailing address
8186 W COLCORD CANYON RD, PHOENIX, AZ 85043
(480) 236-0677

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
022825
AZ

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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