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1962486076
MARK A TIEDE
PHOENIX, AZ
NPI
1962486076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ RN077787)
Enumeration Date
2005-12-01
Last Update Date
2007-10-31
Business Address
-- MARK A TIEDE CRNA
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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Mailing Address
-- MARK A TIEDE CRNA
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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