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Organization

JUDY M PINSONNEAULT, D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL J TACKETT (ADMINISTRATOR)
(480) 629-5287
Entity
Organization

Contact information

Practice address
6106 E BROWN RD STE 102, MESA, AZ 85205-4954
(480) 641-4646
(480) 641-2270
Mailing address
6106 E BROWN RD STE 102, MESA, AZ 85205-4954
(480) 641-4646
(480) 641-2270

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
03/26/2007
Last updated
11/21/2007
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