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1477011237
EAST SOUTHERN MEDICAL GROUP, LLC
MESA, AZ
NPI
1477011237
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Entity Type
Organization
Authorized Contact
DEREK P PRUNI
Owner
480-830-2882
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2019-03-11
Last Update Date
2023-05-02
Business Address
EAST SOUTHERN MEDICAL GROUP, LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
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Mailing Address
EAST SOUTHERN MEDICAL GROUP, LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
Copy
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