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1538410071
MARA DANIELLE IMMEDIATO
TEMPE, AZ
NPI
1538410071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ 5195)
Enumeration Date
2012-09-24
Last Update Date
2019-02-04
Business Address
MARA DANIELLE IMMEDIATO PA-C
1255 W RIO SALADO PKWY STE 107
TEMPE, AZ 85281-2892
Phone number: 480-962-0071
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Mailing Address
MARA DANIELLE IMMEDIATO PA-C
1255 W RIO SALADO PKWY STE 107
TEMPE, AZ 85281-2892
Phone number: 480-962-0071
Copy
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