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1871322313
OMOTOLA GEORGE
PHOENIX, AZ
NPI
1871322313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 312202)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
OMOTOLA GEORGE NP
7808 W THOMAS RD
PHOENIX, AZ 85033-5481
Phone number: 602-655-6900
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Mailing Address
OMOTOLA GEORGE NP
2772 S BAHAMA DR
GILBERT, AZ 85295-6006
Phone number:
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