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1023442985
MAIKEL HERNANDEZ DIAZ
KINGMAN, AZ
NPI
1023442985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL 9107389)
Enumeration Date
2013-08-28
Last Update Date
2019-05-21
Business Address
Mr. MAIKEL HERNANDEZ DIAZ PA-C
3435 KAREN AVE
KINGMAN, AZ 86401-6485
Phone number: 305-962-2690
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Mailing Address
Mr. MAIKEL HERNANDEZ DIAZ PA-C
30295 N 117TH DR
PEORIA, AZ 85383-8255
Phone number: 305-962-2690
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