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1184730335
AMY REBECCA KOLWAITE
PHOENIX, AZ
NPI
1184730335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ RN112527)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- AMY REBECCA KOLWAITE PNP
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-546-1000
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Mailing Address
-- AMY REBECCA KOLWAITE PNP
1919 E THOMAS RD BLDG C MANAGED CARE
PHOENIX, AZ 85016-7710
Phone number: 602-546-0412
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