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1053133637
BLANCA P MEJIA DE ORTIZ
AVONDALE, AZ
NPI
1053133637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PR 2120)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
BLANCA P MEJIA DE ORTIZ PA
11621 W RIO VISTA LN
AVONDALE, AZ 85323-7618
Phone number: 623-455-0992
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Mailing Address
BLANCA P MEJIA DE ORTIZ PA
11621 W RIO VISTA LN
AVONDALE, AZ 85323-7618
Phone number: 623-455-0992
Copy
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