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1942789367
JOEL PHILLIP MEDRANO
AVONDALE, AZ
NPI
1942789367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ TAP11637)
Enumeration Date
2018-08-07
Last Update Date
2021-08-18
Business Address
JOEL PHILLIP MEDRANO
1665 N AVONDALE BLVD
AVONDALE, AZ 85392-5006
Phone number: 602-933-1000
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Mailing Address
JOEL PHILLIP MEDRANO
20508 W DANIEL PL
BUCKEYE, AZ 85396-3649
Phone number: 714-659-1969
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