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Individual

JEFFREY DONALD PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
9305 W THOMAS RD STE 235, PHOENIX, AZ 85037-3363
(623) 327-7131
Mailing address
5505 W STRAIGHT ARROW LN, PHOENIX, AZ 85083-9311
(630) 688-9626

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9905
AZ
363LX0106X
Occupational Health Nurse Practitioner
AP9905
AZ

Other

Enumeration date
10/09/2014
Last updated
12/19/2024
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