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1215455753
STEPHANIE EWALT
PHOENIX, AZ
NPI
1215455753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6862)
Enumeration Date
2017-09-05
Last Update Date
2022-07-20
Business Address
STEPHANIE EWALT
10240 W INDIAN SCHOOL RD STE 115
PHOENIX, AZ 85037-5905
Phone number: 623-243-9077
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Mailing Address
STEPHANIE EWALT
1312 W BARTLETT WAY
CHANDLER, AZ 85248-5506
Phone number: 520-235-5377
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