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Individual

DR. JOHN MANSOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
337 E CORONADO RD STE 201, PHOENIX, AZ 85004-1583
(480) 712-4600
Mailing address
701 W RIO SALADO PKWY APT 3012, TEMPE, AZ 85281-6285
(480) 522-8636

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005528
AZ

Other

Enumeration date
07/27/2022
Last updated
08/02/2022
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