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1720701261
ADESOLA IZASOMEH
PHOENIX, AZ
NPI
1720701261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 280100)
Enumeration Date
2022-09-20
Last Update Date
2022-11-09
Business Address
ADESOLA IZASOMEH PMHNP
9132 W HUBBELL ST
PHOENIX, AZ 85037-4377
Phone number: 480-725-8601
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Mailing Address
ADESOLA IZASOMEH PMHNP
1500 N PRIEST DR
TEMPE, AZ 85288-1213
Phone number: 833-719-0886
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