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1114229572
ALISHA DIONE BOGUS
PHOENIX, AZ
NPI
1114229572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: AZ R72127)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
ALISHA DIONE BOGUS MD
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX, AZ 85013-4409
Phone number: 602-406-6129
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Mailing Address
ALISHA DIONE BOGUS MD
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX, AZ 85013-4409
Phone number: 602-406-6129
Copy
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