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Organization

COPPER HEALTH CONSULTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BABATOMIWA ADESANYA PMHNP (CEO)
(256) 504-6268
Entity
Organization

Contact information

Practice address
10620 S 54TH DR, LAVEEN, AZ 85339-4508
(623) 633-6374
Mailing address
10620 S 54TH DR, LAVEEN, AZ 85339-4508
(623) 633-6374

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/13/2024
Last updated
12/13/2024
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