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1467236356
DARAROTH TONY LAM
PHOENIX, AZ
NPI
1467236356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 295609)
Enumeration Date
2023-08-22
Last Update Date
2024-02-08
Business Address
DARAROTH TONY LAM NP
15650 N BLACK CANYON HWY STE 245B
PHOENIX, AZ 85053-4041
Phone number: 602-675-2747
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Mailing Address
DARAROTH TONY LAM NP
2678 W MONTGOMERY DR
CHANDLER, AZ 85224-7854
Phone number: 480-577-5323
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