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Individual

KALI PELLEGRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2840 N DYSART RD, GOODYEAR, AZ 85395-2338
(623) 536-5310
Mailing address
200 E THOMAS RD UNIT 412, PHOENIX, AZ 85012-1195
(203) 231-1506

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247797
AZ

Other

Enumeration date
12/14/2020
Last updated
12/14/2020
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