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1881752038
KELLY RENEE GROGAN
PHOENIX, AZ
NPI
1881752038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN066578)
Enumeration Date
2006-12-04
Last Update Date
2019-10-21
Business Address
Miss KELLY RENEE GROGAN N.P.
1910 E THOMAS RD STE 200
PHOENIX, AZ 85016-7767
Phone number: 602-266-2200
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Mailing Address
Miss KELLY RENEE GROGAN N.P.
1910 E THOMAS RD STE 200
PHOENIX, AZ 85016-7767
Phone number: 602-266-2200
Copy
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