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1629064613
MARK RALPH LONQUIST
GOODYEAR, AZ
NPI
1629064613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 22778)
Enumeration Date
2005-09-23
Last Update Date
2019-04-18
Business Address
Mr. MARK RALPH LONQUIST MD
13555 W MCDOWELL RD #103
GOODYEAR, AZ 85395
Phone number: 623-925-1157
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Mailing Address
Mr. MARK RALPH LONQUIST MD
3815 E BELL RD STE 2200
PHOENIX, AZ 85032-2139
Phone number: 602-633-3838
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