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Individual

GREGORY OXENDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
9010 S PRIEST DR APT 1200, TEMPE, AZ 85284-1077
(602) 565-1090
Mailing address
9010 S PRIEST DR APT 1200, TEMPE, AZ 85284-1077
(602) 565-1090

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN190404
AZ
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN190404
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN190404
AZ

Other

Enumeration date
11/16/2020
Last updated
02/08/2022
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