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1952159253
MATILDA OTANG EYONG EPSE EBAIETAKA
GILBERT, AZ
NPI
1952159253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 223835)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
MATILDA OTANG EYONG EPSE EBAIETAKA PMHNP
3755 S ROME STREET
GILBERT, AZ 85297
Phone number: 480-677-5500
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Mailing Address
MATILDA OTANG EYONG EPSE EBAIETAKA PMHNP
6945 S OPAL DR
CHANDLER, AZ 85249-7221
Phone number: 480-452-6424
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