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1457022337
JACOB A MATHER
GLENDALE, AZ
NPI
1457022337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ 264233)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
Mr. JACOB A MATHER MSN, CRNA
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
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Mailing Address
Mr. JACOB A MATHER MSN, CRNA
17632 N 114TH LN
SURPRISE, AZ 85378-6982
Phone number: 480-302-1286
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