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Individual

KASIMU FRANK KALALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
US 191 & AZ 264, GANADO, AZ 86505
(928) 755-4632
(928) 755-4831
Mailing address
3902 IMPATIENS VW, SAN ANTONIO, TX 78245-2961
(210) 307-5387

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234713
AZ
363LF0000X
Family Nurse Practitioner
AP142884
TX

Other

Enumeration date
06/21/2019
Last updated
05/28/2025
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