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1114465598
DIANA ANDREEA STAN
GLENDALE, AZ
NPI
1114465598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: AZ 6630)
Enumeration Date
2017-02-07
Last Update Date
2018-07-17
Business Address
DIANA ANDREEA STAN
18555 N 79TH AVE STE B108
GLENDALE, AZ 85308
Phone number: 623-773-2848
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Mailing Address
DIANA ANDREEA STAN
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015-4764
Phone number:
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