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Individual
MARICHU SY
Active
Individual
MARICHU SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425365
—
AZ
Enumeration date
01/25/2006
Last updated
02/04/2014
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