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Organization
MARICOPA CHRISTIAN PSYCHIATRY GROUP, LLC
Active
Organization
MARICOPA CHRISTIAN PSYCHIATRY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY N OLLOH NP (OWNER OF ENTITY)
(480) 284-8344
Entity
Organization
Contact information
Practice address
3130 N ARIZONA AVE STE 101, CHANDLER, AZ 85225-7162
(480) 284-8344
(480) 284-8622
Mailing address
3130 N ARIZONA AVE STE 101, CHANDLER, AZ 85225-7162
(480) 284-8344
(480) 284-8622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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