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1063067965
AUSTIN MATIAS BACONG
SCOTTSDALE, AZ
NPI
1063067965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7519)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
Mr. AUSTIN MATIAS BACONG PA-C
9827 N 95TH ST STE 105
SCOTTSDALE, AZ 85258-4591
Phone number: 480-860-8488
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Mailing Address
Mr. AUSTIN MATIAS BACONG PA-C
9827 N 95TH ST STE 105
SCOTTSDALE, AZ 85258-4591
Phone number: 480-860-8488
Copy
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