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1366569246
WANDA G ICHIRIU
MESA, AZ
NPI
1366569246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 8561)
Enumeration Date
2007-03-23
Last Update Date
2022-11-21
Business Address
WANDA G ICHIRIU PA
4135 S POWER RD STE 113
MESA, AZ 85212-3625
Phone number: 480-626-2444
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Mailing Address
WANDA G ICHIRIU PA
PO BOX 88747
MILWAUKEE, WI 53288-5499
Phone number: 480-945-6777
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