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1174101364
SARA VIVATSON
PHOENIX, AZ
NPI
1174101364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
SARA VIVATSON DO
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0945
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Mailing Address
SARA VIVATSON DO
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number:
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