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1598391351
BRYSON LEE WANDLING
SAN LUIS, AZ
NPI
1598391351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7850)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
BRYSON LEE WANDLING PA-C
815 E. CESAR CHAVEZ BLVD.
SAN LUIS, AZ 85349
Phone number: 928-627-3822
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Mailing Address
BRYSON LEE WANDLING PA-C
3280 N 250 E
NORTH OGDEN, UT 84414-1582
Phone number: 801-837-0998
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