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Individual

NIKELA SHANEY DEBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMN, P

Contact information

Practice address
9920 W CAMELBACK RD, PHOENIX, AZ 85037-5060
(702) 782-0967
Mailing address
13794 W WADDELL RD # 203-163, SURPRISE, AZ 85379-8499
(702) 782-0967

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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