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1073225728
DEYATRES DEWALT
MESA, AZ
NPI
1073225728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 10181)
Enumeration Date
2022-12-14
Last Update Date
2024-01-18
Business Address
DEYATRES DEWALT PA
1400 S DOBSON RD
MESA, AZ 85202-4707
Phone number: 480-256-7108
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Mailing Address
DEYATRES DEWALT PA
1400 S DOBSON RD
MESA, AZ 85202-4707
Phone number: 602-900-7711
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