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Organization

HOPE DIABETES OF GILBERT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARILYN CAPOTE (CEO)
(480) 422-5030
Entity
Organization

Contact information

Practice address
875 N GREENFIELD RD, SUITE 104, GILBERT, AZ 85234-5044
(480) 422-5030
(480) 247-3989
Mailing address
3317 S HIGLEY RD, 114-118, GILBERT, AZ 85297-5436
(480) 422-5030
(480) 247-3989

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
526673
AHCCCS
AZ
Enumeration date
05/18/2010
Last updated
10/22/2010
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