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1982303368
SHALISSA MARIE EASLEY
PHOENIX, AZ
NPI
1982303368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 287086)
Enumeration Date
2023-02-24
Last Update Date
2023-05-15
Business Address
SHALISSA MARIE EASLEY FNP-C
3201 W PEORIA AVE STE C500
PHOENIX, AZ 85029-4600
Phone number: 623-773-2000
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Mailing Address
SHALISSA MARIE EASLEY FNP-C
3201 W PEORIA AVE STE C500
PHOENIX, AZ 85029-4600
Phone number: 623-773-2000
Copy
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