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Organization
CLINICA MEDICA FAMILIAR SAN GABRIEL, LLC
Active
Organization
CLINICA MEDICA FAMILIAR SAN GABRIEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE E BENTZ DNP, FNP-C (OWNER)
(714) 465-0875
Entity
Organization
Contact information
Practice address
4515 S MCCLINTOCK DR STE 115, TEMPE, AZ 85282-7381
(480) 780-0690
(480) 831-0415
Mailing address
4515 S MCCLINTOCK DR STE 115, TEMPE, AZ 85282-7381
(480) 780-0690
(480) 831-0415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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