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1912058694
ANGELA CHANNELLE KISELYK
PHOENIX, AZ
NPI
1912058694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: AZ 3091)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
MS. ANGELA CHANNELLE KISELYK
4530 N 32ND ST STE 104
PHOENIX, AZ 85018-3357
Phone number: 602-279-6282
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Mailing Address
MS. ANGELA CHANNELLE KISELYK
1222 W AUBURN DR
TEMPE, AZ 85283-1617
Phone number: 602-279-6282
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