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1326023839
EDITA EXTRA-MENDOZA
GREEN VALLEY, AZ
NPI
1326023839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 24412)
Enumeration Date
2005-12-08
Last Update Date
2017-04-20
Business Address
Dr. EDITA EXTRA-MENDOZA MD
1055 N. LA CANADA BLVD SUITE 121
GREEN VALLEY, AZ 85614
Phone number: 520-547-7770
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Mailing Address
Dr. EDITA EXTRA-MENDOZA MD
5055 E BROADWAY BLVD SUITE A100
TUCSON, AZ 85711
Phone number: 520-382-1205
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