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1194221770
NISHA BHARAT PATEL
PHOENIX, AZ
NPI
1194221770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
NISHA BHARAT PATEL DO
EDWARDS MEDICAL PLAZA SUITE 320 1300 NORTH 12TH STREET
PHOENIX, AZ 85006
Phone number: 602-521-3617
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Mailing Address
NISHA BHARAT PATEL DO
123 S SPRINGINSGUTH RD
SCHAUMBURG, IL 60193-1270
Phone number: 847-715-8542
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