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Individual

ABBEY P. RAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
37100 N GANTZEL RD STE 106, SAN TAN VALLEY, AZ 85140-7350
(480) 821-3600
(480) 821-3610
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 821-3610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4497
AZ
363AM0700X
Medical Physician Assistant
Primary
4497
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
489181
AZ
Enumeration date
09/11/2009
Last updated
05/30/2024
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