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1841067378
NICHOLAS LEE GREATHOUSE
CASA GRANDE, AZ
NPI
1841067378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 300851)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
NICHOLAS LEE GREATHOUSE NP
1269 N PROMENADE PKWY STE 101
CASA GRANDE, AZ 85194-5424
Phone number: 520-705-8721
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Mailing Address
NICHOLAS LEE GREATHOUSE NP
1269 N PROMENADE PKWY STE 101
CASA GRANDE, AZ 85194-5424
Phone number: 520-876-5996
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