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1285019695
KENNETH VICKROY
PHOENIX, AZ
NPI
1285019695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ AP8000)
Enumeration Date
2015-07-27
Last Update Date
2021-06-01
Business Address
-- KENNETH VICKROY FNP
222 W THOMAS RD STE 114
PHOENIX, AZ 85013-4420
Phone number: 602-406-4578
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Mailing Address
-- KENNETH VICKROY FNP
222 W THOMAS RD STE 114
PHOENIX, AZ 85013-4420
Phone number: 602-406-4578
Copy
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