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1750784617
ROMAN K MADSEN
APACHE JUNCTION, AZ
NPI
1750784617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6220)
Enumeration Date
2014-10-06
Last Update Date
2015-12-14
Business Address
Mr. ROMAN K MADSEN PA-S
625 N PLAZA DR
APACHE JUNCTION, AZ 85120-5501
Phone number: 480-278-3374
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Mailing Address
Mr. ROMAN K MADSEN PA-S
1185 W 1140 N
PROVO, UT 84604-3011
Phone number: 480-278-3374
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