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1912166620
MICHAEL DENICOLE
PHOENIX, AZ
NPI
1912166620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: AZ 2103)
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
Dr. MICHAEL DENICOLE DO
2132 E NORTHVIEW AVE
PHOENIX, AZ 85020-5661
Phone number: 602-615-8207
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Mailing Address
Dr. MICHAEL DENICOLE DO
2132 E NORTHVIEW AVE
PHOENIX, AZ 85020-5661
Phone number: 602-615-8207
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