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1043302433
GERARD H MOHAN
COTTONWOOD, AZ
NPI
1043302433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP2009)
Enumeration Date
2006-09-29
Last Update Date
2015-12-08
Business Address
Mr. GERARD H MOHAN APRN-BC
450 S WILLARD ST SUITE 115
COTTONWOOD, AZ 86326-6743
Phone number: 928-634-5551
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Mailing Address
Mr. GERARD H MOHAN APRN-BC
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-773-2559
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