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1245268820
MICHAEL A BUMANGLAG
PEORIA, AZ
NPI
1245268820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ 3446)
Enumeration Date
2006-06-30
Last Update Date
2009-12-03
Business Address
-- MICHAEL A BUMANGLAG PA-C
9165 W THUNDERBIRD RD SUITE 200
PEORIA, AZ 85381-4847
Phone number: 623-876-3870
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Mailing Address
-- MICHAEL A BUMANGLAG PA-C
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381-4846
Phone number: 623-876-3800
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