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1770329070
MADISON GREEN
PEORIA, AZ
NPI
1770329070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 10495)
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
MADISON GREEN PA-C
6780 W THUNDERBIRD RD # A101
PEORIA, AZ 85381-5049
Phone number: 602-843-1991
Copy
Mailing Address
MADISON GREEN PA-C
7700 W ASPERA BLVD APT 2002
GLENDALE, AZ 85308-7924
Phone number: 435-669-0313
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