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Search › Arizona › 101YP2500X

Daren Dirksen

NPI 1760256259 · on the registry since 2023 · sole proprietor

Practice

Address
1801 S 35th Ave
Phoenix, AZ 85009
Phone
(602) 346-3349
Organisation at this address
Circle The City
Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-14

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