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1558305540
ALAN DALE WAMBOLDT
MESA, AZ
NPI
1558305540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AZ 17046)
Enumeration Date
2006-06-16
Last Update Date
2008-01-16
Business Address
ALAN DALE WAMBOLDT M.D.
7525 E BROADWAY RD SUITE 3
MESA, AZ 85208-2002
Phone number: 480-832-2097
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Mailing Address
ALAN DALE WAMBOLDT M.D.
7525 E BROADWAY RD SUITE 3
MESA, AZ 85208-2002
Phone number: 480-832-2097
Copy
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