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1265456149
JONATHAN A MAITEM
PHOENIX, AZ
NPI
1265456149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 3455)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
DR. JONATHAN A MAITEM DO
250 E DUNLAP AVE
PHOENIX, AZ 85020-2825
Phone number: 602-870-6060
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Mailing Address
DR. JONATHAN A MAITEM DO
2812 W PRINCEVILLE CT
ANTHEM, AZ 85086-3001
Phone number: 623-551-8360
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