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1801487061
CHARLES PAUL CONWAY
PHOENIX, AZ
NPI
1801487061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ 253135)
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
Mr. CHARLES PAUL CONWAY FNP
3540 E BASELINE RD, #130
PHOENIX, AZ 85042
Phone number: 623-251-7559
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Mailing Address
Mr. CHARLES PAUL CONWAY FNP
3540 E BASELINE RD, #130
PHOENIX, AZ 85042
Phone number: 623-251-7559
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