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Organization
EL ROHI JCK LLC
Active
Organization
EL ROHI JCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PHILLIP KINDS FNP (OWNER/PROVIDER)
(623) 297-6857
Entity
Organization
Contact information
Practice address
27441 N BLACK CANYON HWY UNIT 117, PHOENIX, AZ 85085-0018
(623) 297-6857
Mailing address
27441 N BLACK CANYON HWY UNIT 117, PHOENIX, AZ 85085-0018
(623) 297-6857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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