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Individual

SANDRA E AGUAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3015 HIGHWAY 95 STE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038
Mailing address
3015 HIGHWAY 95 STE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11687
AZ
363A00000X
Physician Assistant
14041377-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/25/2023
Last updated
04/27/2026
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