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Individual

ALLISON M GAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11209 N TATUM BLVD, SUITE 180, PHOENIX, AZ 85028-3091
(602) 494-5155
Mailing address
11209 N TATUM BLVD STE 180, PHOENIX, AZ 85028-6060
(602) 494-5155
(602) 494-5115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
99436
MT
363LF0000X
Family Nurse Practitioner
Primary
AP4870
AZ

Other

Enumeration date
02/18/2013
Last updated
02/17/2020
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