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1063119055
SAMANTHA RIEANN PETRAS
PHOENIX, AZ
NPI
1063119055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 10056)
Enumeration Date
2023-02-10
Last Update Date
2024-04-09
Business Address
SAMANTHA RIEANN PETRAS
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1900
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Mailing Address
SAMANTHA RIEANN PETRAS
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-3124
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