ERIN LEAH MICKELSON

PRESCOTT, AZ
NPI1508338732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: AZ  137284)
Enumeration Date2018-12-28
Last Update Date2018-12-28
Business Address
ERIN LEAH MICKELSON
1542 MARVIN GARDENS LN
PRESCOTT, AZ 86301-5528
Phone number: 928-312-2011
Mailing Address
ERIN LEAH MICKELSON
10 BROADMOOR
PRESCOTT, AZ 86305-5086
Phone number: 928-445-2692
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