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1124667175
JENNIFER LEIGH HANISCH
PHOENIX, AZ
NPI
1124667175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ PENDING)
Enumeration Date
2019-12-21
Last Update Date
2021-08-20
Business Address
JENNIFER LEIGH HANISCH AGACNP
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-2000
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Mailing Address
JENNIFER LEIGH HANISCH AGACNP
7314 S 26TH LN
PHOENIX, AZ 85041-6475
Phone number: 623-210-5830
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