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Individual

SIMONA MAGDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11433 N 33RD AVE, PHOENIX, AZ 85029-3236
(602) 547-2273
(602) 547-7912
Mailing address
11433 N 33RD AVE, PHOENIX, AZ 85029-3236
(602) 547-2273
(602) 547-7912

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
ALH-5284
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226409
AZ
Enumeration date
06/15/2009
Last updated
06/15/2009
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