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1336916105
KINGSLEY EBORU
GOODYEAR, AZ
NPI
1336916105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 301080)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
KINGSLEY EBORU
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ 85395-2626
Phone number: 623-295-1190
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Mailing Address
KINGSLEY EBORU
5501 N 19TH AVE STE 425
PHOENIX, AZ 85015-2481
Phone number:
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