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1639667405
CRAIG M TAMBATAMBA
GOODYEAR, AZ
NPI
1639667405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7071)
Enumeration Date
2018-04-27
Last Update Date
2018-07-23
Business Address
CRAIG M TAMBATAMBA PA-C
16064 W WILLIAMS ST
GOODYEAR, AZ 85338-3494
Phone number: 623-202-6413
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Mailing Address
CRAIG M TAMBATAMBA PA-C
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE, AZ 85374-7280
Phone number: 623-374-7774
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