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1023342813
AVI MEIR SAMUEL MALLIN
MESA, AZ
NPI
1023342813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 4512)
Enumeration Date
2009-09-25
Last Update Date
2015-01-13
Business Address
Mr. AVI MEIR SAMUEL MALLIN PA-C
6644 EAST BAYWOOD AVENUE BANNER BAYWOOD MEDICAL CENTER
MESA, AZ 85206
Phone number: 480-321-4740
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Mailing Address
Mr. AVI MEIR SAMUEL MALLIN PA-C
4838 E FLOWER ST
PHOENIX, AZ 85018-6538
Phone number: 702-845-1200
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