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Individual

KEQIANG SHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
Mailing address
28913 N 23RD DR, PHOENIX, AZ 85085-0715
(480) 876-4013

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7687
AZ

Other

Enumeration date
03/02/2015
Last updated
03/08/2023
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