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1396784930
ADAM SHANE NALLY
SURPRISE, AZ
NPI
1396784930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3587)
Enumeration Date
2006-06-06
Last Update Date
2020-08-14
Business Address
Dr. ADAM SHANE NALLY D.O.
14800 W MOUNTAIN VIEW BLVD SUITE 250
SURPRISE, AZ 85374-4795
Phone number: 623-584-7805
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Mailing Address
Dr. ADAM SHANE NALLY D.O.
14800 W MOUNTAIN VIEW BLVD SUITE 250
SURPRISE, AZ 85374-4795
Phone number: 623-584-7805
Copy
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