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1144901315
THESELAH WELLNESS LLC
SURPRISE, AZ
NPI
1144901315
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Entity Type
Organization
Authorized Contact
KALU OKORIE
Dnp
480-360-1002
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2023-07-31
Last Update Date
2024-09-09
Business Address
THESELAH WELLNESS LLC
16416 W DESERT MIRAGE DR
SURPRISE, AZ 85388-5491
Phone number: 480-360-1002
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Mailing Address
THESELAH WELLNESS LLC
16416 W DESERT MIRAGE DR
SURPRISE, AZ 85388-5491
Phone number: 480-360-1002
Copy
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