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Individual

MICHELLE CABATAY MOJICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CORNER OF RTE 12 AND RTE 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
7345 WOODLAND DR # C, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 388-0805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021009116
MO
163W00000X
Registered Nurse
802348
NY

Other

Enumeration date
12/16/2022
Last updated
12/16/2022
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