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Individual

NICOLE LYNN GREENAWALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2750
AZ
363A00000X
Physician Assistant

Other

Enumeration date
06/06/2006
Last updated
03/08/2021
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