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NPI Code Detail

MEDICARE: MISS SOOK YUN OWEN

MEDICARE: MISS SOOK YUN OWEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAP3521AZ

General Provider Information

NPI Number : 1023348885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SOOK YUN OWEN
Provider Business Mailing Address
First Line : 2777 S KARLA DR
Second Line :
City : YUMA
State : AZ
Zip : 85365-3295
Country : US
Telephone Number : 928-788-2488
Fax Number :
Provider Business Practice Location Address
First Line : 1648 HIGHWAY 95
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-7906
Country : US
Telephone Number : 928-758-4114
Fax Number : 928-758-4650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2009
Last Update Date : 11/20/2014

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Directions to “ MISS SOOK YUN OWEN ” Practice Location

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