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1174500581
JANIS SUZANN FORCH
PEORIA, AZ
NPI
1174500581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 1385)
Enumeration Date
2005-12-28
Last Update Date
2012-10-26
Business Address
-- JANIS SUZANN FORCH PA
7615 W THUNDERBIRD RD STE 106
PEORIA, AZ 85381-6083
Phone number: 623-773-2273
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Mailing Address
-- JANIS SUZANN FORCH PA
PO BOX 9609
BELFAST, ME 04915-9609
Phone number: 623-773-2273
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