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Individual

MIA SEIMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
ADAIR AVENUE SPACE #5, TUBA CITY, AZ 86045
(928) 640-7968
(928) 283-5165
Mailing address
PO BOX 1530, TUBA CITY, AZ 86045
(928) 640-7968
(928) 283-5165

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D07668822
AZ

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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