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1194287250
YISEL VIRIDIANA CARTER
PHOENIX, AZ
NPI
1194287250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7624)
Enumeration Date
2019-04-05
Last Update Date
2019-10-01
Business Address
YISEL VIRIDIANA CARTER
9930 W INDIAN SCHOOL RD
PHOENIX, AZ 85037-5902
Phone number: 623-846-7558
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Mailing Address
YISEL VIRIDIANA CARTER
1050 S CERISE
MESA, AZ 85208-3195
Phone number: 801-458-3982
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