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1316317704
BRENT WHITLEY
PHOENIX, AZ
NPI
1316317704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ AP8187)
Enumeration Date
2015-09-29
Last Update Date
2022-12-13
Business Address
BRENT WHITLEY APRN
7301 N 16TH ST STE 102
PHOENIX, AZ 85020-5266
Phone number: 623-233-0914
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Mailing Address
BRENT WHITLEY APRN
7301 N 16TH ST STE 102
PHOENIX, AZ 85020-5266
Phone number: 623-233-0914
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