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1043884026
JERICA ELAINE MICLAT LIM
PHOENIX, AZ
NPI
1043884026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 257756)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
Dr. JERICA ELAINE MICLAT LIM DNP, MN, BSN, PMHNP
825 W OSBORN RD APT 4023
PHOENIX, AZ 85013-3674
Phone number: 747-999-7516
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Mailing Address
Dr. JERICA ELAINE MICLAT LIM DNP, MN, BSN, PMHNP
825 W OSBORN RD APT 4023
PHOENIX, AZ 85013-3674
Phone number: 747-999-7516
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