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1033482435
KODY MEDICAL PC
PHOENIX, AZ
NPI
1033482435
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Entity Type
Organization
Authorized Contact
MARK ALEXANDER MATHURIN
CEO
602-799-2133
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: AZ 23700)
Enumeration Date
2012-02-15
Last Update Date
2012-11-02
Business Address
KODY MEDICAL PC
11627 N 12TH PL
PHOENIX, AZ 85020-1222
Phone number: 602-799-2133
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Mailing Address
KODY MEDICAL PC
11627 N 12TH PL
PHOENIX, AZ 85020-1222
Phone number: 602-799-2133
Copy
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