Provider Information for 1780387290
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TEROLYN STAMPS
Sex: Female
NPI: 1780387290
Last Updated: 2023-03-23
Certification Date: 2023-03-23
Certification Date: 2023-03-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780387290 | ||||||||
| Enumeration Date | 2023-03-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2820 S ALMA SCHOOL RD STE 18 CHANDLER, AZ 85286-4394 United States Phone: 602-456-4974 | Fax: | ||||||||
| Primary Practice Address | 41251 W BARCELONA DR MARICOPA, AZ 85138-3790 United States Phone: 602-456-4974 | Fax: | ||||||||
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