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1710735915
ELLEN MIKRUT
PHOENIX, AZ
NPI
1710735915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-11
Last Update Date
2024-05-11
Business Address
ELLEN MIKRUT MD
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5700
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Mailing Address
ELLEN MIKRUT MD
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-3827
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