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1063689909
LAYNE C. SANDRIDGE
GLENDALE, AZ
NPI
1063689909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery Vascular Surgery
(Licence: AZ 40861)
Enumeration Date
2008-05-09
Last Update Date
2019-01-04
Business Address
LAYNE C. SANDRIDGE M.D.
18700 N 64TH DR STE 105A
GLENDALE, AZ 85308-7110
Phone number: 623-688-5075
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Mailing Address
LAYNE C. SANDRIDGE M.D.
19801 N 59TH AVE UNIT 11659
GLENDALE, AZ 85318-5068
Phone number: 623-688-5075
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