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Doctors / AZ
NURSE PRACTITIONER
Graduated: 2010
NPI: 1730534215
LAVEEN, AZ 85339
7026053331
PO BOX, SUITE 530815
HENDERSON, NV 89053
8327 IVY LEAF ST
LAS VEGAS, NV 891396834
Source: CMS National Downloadable File, September 2026.