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1518534791
BRIAN CARLISLE
PEORIA, AZ
NPI
1518534791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 274984)
Enumeration Date
2021-06-07
Last Update Date
2023-03-02
Business Address
BRIAN CARLISLE FNP-C
15921 N 91ST DR
PEORIA, AZ 85382
Phone number: 623-693-2198
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Mailing Address
BRIAN CARLISLE FNP-C
6635 W HAPPY VALLEY RD STE A104
GLENDALE, AZ 85310-2609
Phone number: 623-693-2198
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