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1578745634
KERRY KNIEVEL
PHOENIX, AZ
NPI
1578745634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: AZ 005732)
Enumeration Date
2007-11-30
Last Update Date
2018-09-17
Business Address
KERRY KNIEVEL D.O.
240 W THOMAS RD SUITE 400
PHOENIX, AZ 85013-4407
Phone number: 602-406-6262
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Mailing Address
KERRY KNIEVEL D.O.
240 W THOMAS RD # 400
PHOENIX, AZ 85013-4407
Phone number: 602-406-6262
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