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Individual

EVA YAA OWUSU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5045 S TATUM LN, GILBERT, AZ 85298-0511
(303) 614-1400
Mailing address
8830 E ODESSA ST, MESA, AZ 85207-9100
(720) 934-6368

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196356
CO
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
196356
AZ

Other

Enumeration date
08/25/2014
Last updated
11/23/2019
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