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1619225802
KIRAN I THAKER
MESA, AZ
NPI
1619225802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1353)
Enumeration Date
2012-08-21
Last Update Date
2017-10-09
Business Address
KIRAN I THAKER PA
835 W UNIVERSITY DR
MESA, AZ 85201-5555
Phone number: 480-664-6007
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Mailing Address
KIRAN I THAKER PA
835 W UNIVERSITY DR
MESA, AZ 85201-5555
Phone number: 480-664-6007
Copy
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