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1003522954
MARCUS ERNEST KONYI KOMETA
PHOENIX, AZ
NPI
1003522954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 286453)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
MARCUS ERNEST KONYI KOMETA
2500 E VAN BUREN ST
PHOENIX, AZ 85008-6037
Phone number: 602-685-3100
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Mailing Address
MARCUS ERNEST KONYI KOMETA
6811 W PLEASANT LN
LAVEEN, AZ 85339-2660
Phone number: 480-252-3484
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