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1427533116
SOPHIA JOLLY
GILBERT, AZ
NPI
1427533116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 217991)
Enumeration Date
2018-09-27
Last Update Date
2019-10-21
Business Address
SOPHIA JOLLY
1220 W SEASCAPE DR
GILBERT, AZ 85233-5628
Phone number: 347-225-2627
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Mailing Address
SOPHIA JOLLY
14780 W MOUNTAIN VIEW BLVD STE 110
SURPRISE, AZ 85374-7280
Phone number: 623-374-7774
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