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Individual

MRS. KELLY L SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7650 N 4RD AVENUE, GLENDALE, AZ 85301
(602) 573-9079
Mailing address
10146 E KIVA AVE, MESA, AZ 85209-1287
(602) 573-9079

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN138635
AZ

Other

Enumeration date
08/01/2025
Last updated
08/04/2025
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