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1831783679
PRISCA AJONGHAGE
SURPRISE, AZ
NPI
1831783679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ 254054)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
PRISCA AJONGHAGE
17470 W VENTURA ST
SURPRISE, AZ 85388-7806
Phone number: 408-597-5067
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Mailing Address
PRISCA AJONGHAGE
17470 W VENTURA ST
SURPRISE, AZ 85388-7806
Phone number:
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