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1154884658
MST SULTANA
TEMPE, AZ
NPI
1154884658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 1091872)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
MST SULTANA
600 E BASELINE RD STE B-2
TEMPE, AZ 85283-1266
Phone number: 602-770-7611
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Mailing Address
MST SULTANA
2922 E EBONY DR
CHANDLER, AZ 85286-0012
Phone number: 347-475-2672
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