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1225745029
CHANTELLE ILORETA
MESA, AZ
NPI
1225745029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 10243)
Enumeration Date
2022-11-01
Last Update Date
2024-03-01
Business Address
CHANTELLE ILORETA PA-C
4135 S POWER RD STE 113
MESA, AZ 85212-3625
Phone number: 480-626-2444
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Mailing Address
CHANTELLE ILORETA PA-C
PO BOX 88747
MILWAUKEE, WI 53288-8747
Phone number: 480-945-6777
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