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1053491878
ROGER M MAYORGA
PHOENIX, AZ
NPI
1053491878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ AP8136)
Enumeration Date
2006-10-16
Last Update Date
2019-10-08
Business Address
ROGER M MAYORGA APN
40 E MITCHELL DR SUITE 100 & 200
PHOENIX, AZ 85012-2330
Phone number: 602-808-5800
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Mailing Address
ROGER M MAYORGA APN
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2634
Phone number: 602-808-2800
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