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1801597810
JONCY JOHNY PULICKAL
PHOENIX, AZ
NPI
1801597810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ 288915)
Enumeration Date
2023-03-15
Last Update Date
2023-12-18
Business Address
JONCY JOHNY PULICKAL FNP-C
2222E HIGHLANDAVE SUITE 204
PHOENIX, AZ 85016-8501
Phone number: 602-358-8588
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Mailing Address
JONCY JOHNY PULICKAL FNP-C
8036 W SPUR DR
PEORIA, AZ 85383-6221
Phone number: 928-304-1406
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