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1790541001
NINA VIDYA BHARADWAJ
FLAGSTAFF, AZ
NPI
1790541001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 10304)
Enumeration Date
2024-02-23
Last Update Date
2024-03-14
Business Address
NINA VIDYA BHARADWAJ PA-C
1840 N JASPER DR STE 2
FLAGSTAFF, AZ 86001-1634
Phone number: 928-226-2900
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Mailing Address
NINA VIDYA BHARADWAJ PA-C
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone number: 866-974-2673
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