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1710196019
JAE-O BAE
PHOENIX, AZ
NPI
1710196019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: AZ 42085)
Enumeration Date
2007-05-22
Last Update Date
2018-01-23
Business Address
JAE-O BAE M.D.
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0016
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Mailing Address
JAE-O BAE M.D.
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1813
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