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Individual

ALBERT JESUS GAMEZ JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
2025 N 3RD ST, SUITE 170, PHOENIX, AZ 85004-1471
(602) 794-2678
(602) 462-1186
Mailing address
6340 S RURAL RD, #118-209, TEMPE, AZ 85283-2932
(602) 663-4057
(602) 462-1186

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2059
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9631805
WA
Enumeration date
05/03/2006
Last updated
07/08/2007
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