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1942911953
EMERALD LASSITER
PHOENIX, AZ
NPI
1942911953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ 9927)
Enumeration Date
2022-12-09
Last Update Date
2024-05-20
Business Address
EMERALD LASSITER PA-C
1313 E OSBORN RD STE 150
PHOENIX, AZ 85014-5688
Phone number: 602-264-4431
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Mailing Address
EMERALD LASSITER PA-C
25 CROSSROADS DR STE 306
OWINGS MILLS, MD 21117-5437
Phone number: 026-222-1900
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