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1457129819
JAIMIE LUKOSE
PHOENIX, AZ
NPI
1457129819
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Former Name
JAIMIE VAYALIL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 237099)
Enumeration Date
2023-12-15
Last Update Date
2024-01-25
Business Address
Mrs. JAIMIE LUKOSE NP
4222 N 12TH ST STE 200
PHOENIX, AZ 85014-6024
Phone number: 602-795-9223
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Mailing Address
Mrs. JAIMIE LUKOSE NP
4222 N 12TH ST STE 200
PHOENIX, AZ 85014-6024
Phone number: 027-959-2236
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