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1700617008
CARISSA ANN GADDIE
PHOENIX, AZ
NPI
1700617008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 255495)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
CARISSA ANN GADDIE
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5900
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Mailing Address
CARISSA ANN GADDIE
2725 E MINE CREEK RD UNIT 1135
PHOENIX, AZ 85024-6265
Phone number: 417-838-4775
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