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1144832916
JUDAH SAMUEL DAVID ROME
MESA, AZ
NPI
1144832916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ RNP246500)
Enumeration Date
2020-08-21
Last Update Date
2023-11-29
Business Address
JUDAH SAMUEL DAVID ROME
2204 S DOBSON RD STE 102
MESA, AZ 85202-6457
Phone number: 480-500-1936
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Mailing Address
JUDAH SAMUEL DAVID ROME
3101 N CENTRAL AVE STE 550
PHOENIX, AZ 85012-2635
Phone number: 602-230-7373
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