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1497023865
MIRANDA SALIB ISOM
PHOENIX, AZ
NPI
1497023865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ 5110)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2011-12-13
Last Update Date
2013-03-19
Business Address
-- MIRANDA SALIB ISOM
4550 E BELL ROAD SUITE 172
PHOENIX, AZ 85032
Phone number: 480-443-8400
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Mailing Address
-- MIRANDA SALIB ISOM
4550 E BELL RD SUITE 172
PHOENIX, AZ 85032-9306
Phone number: 480-443-8400
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