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1639886583
IDORENYIN PHILIP
PHOENIX, AZ
NPI
1639886583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 282721)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
IDORENYIN PHILIP NP
1407 S 9TH AVE
PHOENIX, AZ 85007-3904
Phone number: 602-975-6155
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Mailing Address
IDORENYIN PHILIP NP
9015 W UNION HILLS DR STE 107 #344
PEORIA, AZ 85382
Phone number: 480-256-2669
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