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1104381466
MESA MULTISPECIALTY, LLC
GILBERT, AZ
NPI
1104381466
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Entity Type
Organization
Authorized Contact
JEREMIAH FABER
CEO
480-258-3635
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
MESA MULTISPECIALTY, LLC
81 W. GUADALUPE ROAD SUITE 112
GILBERT, AZ 85233
Phone number: 480-659-1404
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Mailing Address
MESA MULTISPECIALTY, LLC
81 W. GUADALUPE ROAD SUITE 112
GILBERT, AZ 85233
Phone number: 480-659-1404
Copy
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