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1174759807
SHANTALL VIRIDIANA HALL
GLENDALE, AZ
NPI
1174759807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 005194)
Enumeration Date
2009-06-09
Last Update Date
2019-08-05
Business Address
Ms. SHANTALL VIRIDIANA HALL D.O.
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number: 602-588-5555
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Mailing Address
Ms. SHANTALL VIRIDIANA HALL D.O.
2000 SPRING RD SUITE 200
OAK BROOK, IL 60523-1804
Phone number: 630-472-8800
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