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1942985221
QKA HEALTHCARE LLC
PHOENIX, AZ
NPI
1942985221
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Entity Type
Organization
Authorized Contact
AMANDA LORRAINE STOCKWELL
Owner
315-521-2455
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2023-06-15
Last Update Date
2023-07-27
Business Address
QKA HEALTHCARE LLC
4340 E INDIAN SCHOOL RD
PHOENIX, AZ 85018-5360
Phone number: 315-521-2455
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Mailing Address
QKA HEALTHCARE LLC
4340 E INDIAN SCHOOL RD STE 21-204
PHOENIX, AZ 85018-5391
Phone number: 315-521-2455
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