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1437417342
LORA J VAN TASSEL
PHOENIX, AZ
NPI
1437417342
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Former Name
LORA J PITTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 50424)
Enumeration Date
2012-04-27
Last Update Date
2023-12-11
Business Address
Dr. LORA J VAN TASSEL M.D.
3145 E CHANDLER BLVD STE 110-109
PHOENIX, AZ 85048-8702
Phone number: 602-935-9773
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Mailing Address
Dr. LORA J VAN TASSEL M.D.
3145 E CHANDLER BLVD STE 110-109
PHOENIX, AZ 85048-8702
Phone number: 602-935-9773
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