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1184630758
IDENISE CABANAS
MESA, AZ
NPI
1184630758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 2088)
Enumeration Date
2006-08-01
Last Update Date
2014-01-23
Business Address
-- IDENISE CABANAS P.A.-C
1425 S GREENFIELD RD 101
MESA, AZ 85206-5529
Phone number: 480-981-3000
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Mailing Address
-- IDENISE CABANAS P.A.-C
1425 S GREENFIELD RD 101
MESA, AZ 85206-5529
Phone number: 480-981-3000
Copy
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