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Individual

ANDREW OWUSU-ANSAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
358 E JAVELINA AVE, MESA, AZ 85210-6205
(480) 831-7563
Mailing address
5531 CANYON RD APT 728, BENBROOK, TX 76126-1813
(817) 449-5235

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
233236
AZ

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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