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Individual

KAITLYN HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5681 W BEVERLY LN STE 100, GLENDALE, AZ 85306-9800
(480) 443-8400
Mailing address
5681 W BEVERLY LN STE 100, GLENDALE, AZ 85306-9800

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/20/2022
Last updated
12/06/2022
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