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DYLAN O'KEEFE CAREY

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1467064063

Individual Registrant:
 DYLAN O'KEEFE CAREY 
Gender: M
Sole Proprietor

Location and contact information for practice:
11702 W FORDSON DR  MARANA, AZ 85653-7715 US
Tel: 520-309-1065  Fax: --

Contact information for business:
11702 W FORDSON DR  MARANA, AZ 85653-7715 US
Tel: 520-309-1065  Fax: --

Registration Information:
NPI: 1467064063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
AZRN200405

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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