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1184051336
TASHA S MACK
MESA, AZ
NPI
1184051336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 5521)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- TASHA S MACK PA-C
7233 E BASELINE RD STE 126
MESA, AZ 85209-5007
Phone number: 480-699-2222
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Mailing Address
-- TASHA S MACK PA-C
6745 E SUPERSTITION SPRINGS BLVD APT 1001
MESA, AZ 85206-4364
Phone number: 480-699-2222
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