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1104538180
LETICIA MORA
PHOENIX, AZ
NPI
1104538180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 285068)
Enumeration Date
2022-12-21
Last Update Date
2024-08-21
Business Address
LETICIA MORA FNP-C
11209 N TATUM BLVD
PHOENIX, AZ 85028-3091
Phone number: 602-494-6800
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Mailing Address
LETICIA MORA FNP-C
PO BOX 6423
CHANDLER, AZ 85246-6423
Phone number: 480-821-2838
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