ADAM KIMBALL GENO

FLAGSTAFF, AZ
NPI1386037729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  AP7648)
Enumeration Date2015-03-10
Last Update Date2017-10-30
Business Address
-- ADAM KIMBALL GENO MSN, PMHNP-BC
2187 N VICKEY ST
FLAGSTAFF, AZ 86004-6121
Phone number: 205-527-1899
Mailing Address
-- ADAM KIMBALL GENO MSN, PMHNP-BC
202 E EARLL DR STE 200
PHOENIX, AZ 85012-2647
Phone number: 205-527-1899
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