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Individual

SYDNEY GEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4352
(602) 952-0002
Mailing address
3921 E CARTER DR, PHOENIX, AZ 85042-6212
(602) 388-2205

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
288800
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
288800
APRN LICENSE NUMBER
AZ
Enumeration date
03/06/2023
Last updated
03/06/2023
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