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1780080549
JONATHAN DELOSSANTOS
MESA, AZ
NPI
1780080549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5881)
Enumeration Date
2014-11-06
Last Update Date
2019-06-25
Business Address
Mr. JONATHAN DELOSSANTOS P.A.
2152 S VINEYARD STE 131
MESA, AZ 85210
Phone number: 480-788-8539
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Mailing Address
Mr. JONATHAN DELOSSANTOS P.A.
2152 S VINEYARD STE 131
MESA, AZ 85210-6882
Phone number: 480-788-8539
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