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Individual

MS. KAYLAN MARIE LUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 S 4TH AVE, PHOENIX, AZ 85003-2138
(602) 506-2906
Mailing address
201 S 4TH AVE, PHOENIX, AZ 85003-2138
(602) 506-2906

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5870
AZ

Other

Enumeration date
11/21/2014
Last updated
11/21/2014
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