Individual
PHILLIP MARK PULEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 N 15TH ST, UNIT 7, PHOENIX, AZ 85006-1153
(480) 280-0079
Mailing address
2535 N 15TH ST, UNIT 7, PHOENIX, AZ 85006-1153
(480) 280-0079
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043998
AZ
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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