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1164490579
JODY LEE SANDERSON
PHOENIX, AZ
NPI
1164490579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 2580)
Enumeration Date
2006-03-10
Last Update Date
2014-07-29
Business Address
Mr. JODY LEE SANDERSON PA-C
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-6968
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Mailing Address
Mr. JODY LEE SANDERSON PA-C
PO BOX 15070
SCOTTSDALE, AZ 85267-5070
Phone number: 480-421-9700
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