Individual
CALLIE KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2558 E HAMPTON LN, GILBERT, AZ 85295-2347
(480) 390-4281
Mailing address
2558 E HAMPTON LN, GILBERT, AZ 85295-2347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183366
AZ
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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