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1992708523
MARK A THIELE
PRESCOTT, AZ
NPI
1992708523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 4659)
Enumeration Date
2005-05-27
Last Update Date
2017-03-29
Business Address
MARK A THIELE PA-C
1223 WILLOW CREEK RD
PRESCOTT, AZ 86301-1427
Phone number: 928-777-9950
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Mailing Address
MARK A THIELE PA-C
1223 WILLOW CREEK RD
PRESCOTT, AZ 86301-1427
Phone number: 928-777-9950
Copy
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