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1174648323
ROSALIE E BANASIAK
PHOENIX, AZ
NPI
1174648323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: AZ 15037)
Enumeration Date
2007-03-20
Last Update Date
2011-09-27
Business Address
Dr. ROSALIE E BANASIAK MD
12808 NORTH BLACK CANYON HIGHWAY
PHOENIX, AZ 85029
Phone number: 602-375-1155
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Mailing Address
Dr. ROSALIE E BANASIAK MD
12808 NORTH BLACK CANYON HIGHWAY
PHOENIX, AZ 85029
Phone number: 602-375-1155
Copy
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