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1881741726
NATHANIEL WELLY
COTTONWOOD, AZ
NPI
1881741726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 1069801)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- NATHANIEL WELLY PAC
203 S CANDY LN SUITE 3B
COTTONWOOD, AZ 86326-4120
Phone number: 928-634-9573
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Mailing Address
-- NATHANIEL WELLY PAC
203 S CANDY LN STE 3B
COTTONWOOD, AZ 86326-4120
Phone number: 928-634-9573
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