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Colette Eneboe
NPI 1508249038 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1015 S Val Vista Dr Unit 27
Mesa, AZ 85204 - Phone
- (602) 920-4041
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona