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1700606282
SAGE ILAS
PHOENIX, AZ
NPI
1700606282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ 315482)
Enumeration Date
2024-10-10
Last Update Date
2024-10-12
Business Address
SAGE ILAS FNP
5355 E HIGH ST UNIT 101
PHOENIX, AZ 85054-5481
Phone number: 928-978-0198
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Mailing Address
SAGE ILAS FNP
5223 E HERRERA DR
PHOENIX, AZ 85054-7183
Phone number: 928-978-0198
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