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Individual

DR. MARIE RAPHAELLE MONA JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719
(520) 626-5959
(520) 626-4141
Mailing address
BANNER UNIVERSITY MEDICAL CENTER, PO BOX 245073, TUCSON, AZ 85724
(520) 626-5959
(520) 626-4141

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55190
AZ
208000000X
Pediatrics Physician
MD449257
PA
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.123182
OH
2080P0206X
Pediatric Gastroenterology Physician
55190
AZ

Other

Enumeration date
03/09/2012
Last updated
07/07/2021
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