IRINA KHAKHANOV

PHOENIX, AZ
NPI1417617002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  f11210467)
Enumeration Date2021-12-22
Last Update Date2021-12-22
Business Address
IRINA KHAKHANOV
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 646-249-5910
Mailing Address
IRINA KHAKHANOV
15437 N 13TH AVE
PHOENIX, AZ 85023-4484
Phone number: 646-249-5910
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