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1497772115
ELLEN L MATTA
MESA, AZ
NPI
1497772115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ CRNA0158)
Enumeration Date
2006-07-17
Last Update Date
2017-04-05
Business Address
ELLEN L MATTA CRNA
2610 E UNIVERSITY DR
MESA, AZ 85213-8436
Phone number: 480-892-8400
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Mailing Address
ELLEN L MATTA CRNA
2610 E UNIVERSITY DR
MESA, AZ 85213-8436
Phone number: 480-892-8400
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