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1376160978
LANDIS BROOK STOKUM
GILBERT, AZ
NPI
1376160978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ RNP243406)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
LANDIS BROOK STOKUM PMHNP
2730 S VAL VISTA DR STE 146
GILBERT, AZ 85295-1679
Phone number: 480-542-0202
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Mailing Address
LANDIS BROOK STOKUM PMHNP
342 E BACKMAN ST
SAN TAN VALLEY, AZ 85140-4290
Phone number: 480-274-9033
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