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1154172906
JOLLY ABRAHAM
GILBERT, AZ
NPI
1154172906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ APRN-RNP-306923)
Enumeration Date
2024-03-29
Last Update Date
2024-11-08
Business Address
JOLLY ABRAHAM
428 S GILBERT RD STE 101
GILBERT, AZ 85296-2261
Phone number: 480-677-8282
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Mailing Address
JOLLY ABRAHAM
261 N ROOSEVELT AVE
CHANDLER, AZ 85226-2617
Phone number: 480-677-8282
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