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1922090992
JACQUELINE I. DORIS
PHOENIX, AZ
NPI
1922090992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 24281)
Enumeration Date
2005-08-16
Last Update Date
2013-09-24
Business Address
-- JACQUELINE I. DORIS M.D.
4131 N 24TH ST B-102
PHOENIX, AZ 85016-6262
Phone number: 602-955-6632
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Mailing Address
-- JACQUELINE I. DORIS M.D.
2500 W UTOPIA RD STE. 100
PHOENIX, AZ 85027-4171
Phone number: 602-214-6148
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