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JUDE CHIBUOGWU EJIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2500 E VAN BUREN ST, PHOENIX, AZ 85008-6037
(602) 685-3100
Mailing address
8150 N 61ST AVE APT 1073, GLENDALE, AZ 85302-6782
(225) 485-6310

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
304136
AZ

Other

Enumeration date
03/18/2024
Last updated
03/18/2024
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