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Individual

KEVIN OMOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3250 S ARIZONA AVE APT 2138, CHANDLER, AZ 85248-2736
(480) 252-7188
Mailing address
3250 S ARIZONA AVE APT 2138, CHANDLER, AZ 85248-2736

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AZ

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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