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Individual

MS. JUDITH CELIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6040 E MAIN ST, # 220, MESA, AZ 85205-8928
(602) 390-6655
(480) 924-8256
Mailing address
6040 E MAIN ST, # 220, MESA, AZ 85205-8928
(602) 390-6655
(480) 924-8256

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN088702
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
539893
AZ
01
62305
MERIDIAN
AZ
Enumeration date
06/15/2005
Last updated
03/04/2013
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