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1700086816
ROBERTA ELAINE FUNCK
COTTONWOOD, AZ
NPI
1700086816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 4341)
Enumeration Date
2007-07-18
Last Update Date
2017-03-14
Business Address
Ms. ROBERTA ELAINE FUNCK PA-C
294 W STATE ROUTE 89A
COTTONWOOD, AZ 86326-3754
Phone number: 928-649-7889
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Mailing Address
Ms. ROBERTA ELAINE FUNCK PA-C
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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