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Individual

ASHLEY KELEPOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
625 N 13TH W, SAINT JOHNS, AZ 85936-4986
(928) 337-3000
Mailing address
714 W AIRPORT RD, SPRINGERVILLE, AZ 85938-5013
(480) 258-0481

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
262356
AZ
363LF0000X
Family Nurse Practitioner
Primary
F07211457
AZ

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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