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Case Number and Status

Case Number: I-200-16096-463728

Submitted on:

CERTIFIED

on:

Employment

From: 2016-07-01

To: 2019-06-30 (1,094 days)

Address

1205 F Avenue
Douglas, AZ 85607

Phone

5204593012


Attorney Summary

Location
Chapel Hill, NC

Job Summary

Job Title
Physician
City and State
Sierra Vista, AZ
County
Cochise

Soc Code
29-1063.00
Naics Code
Industry Code
621111