Individual
ANDREW AGULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 KAREN DR, PRESCOTT, AZ 86303-5426
(480) 689-2027
Mailing address
496 KAREN DR, PRESCOTT, AZ 86303-5426
(480) 689-2027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048089
AZ
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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