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1376801803
MARISSE AILEEN LARDIZABAL
PHOENIX, AZ
NPI
1376801803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: AZ 0799)
Enumeration Date
2012-05-03
Last Update Date
2015-10-14
Business Address
-- MARISSE AILEEN LARDIZABAL DPM
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-697-8787
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Mailing Address
-- MARISSE AILEEN LARDIZABAL DPM
5309 W MISTY WILLOW LN
GLENDALE, AZ 85310-3732
Phone number: 602-697-8787
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