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Individual

MICHELE NICOLE MAZERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RD

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
P.O. BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC, FORT DEFIANCE, AZ 86504-0649
(928) 729-2380

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/06/2009
Last updated
09/09/2015
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