Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dorene Mykol, OWNER

Individual provider Contractor · NPI 1588115729

Dorene Mykol, OWNER is a Contractor in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

4525 N 24th St Ste 110
Phoenix, AZ 85016-5299
Phone: (480) 868-9069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1588115729
Entity typeIndividual (Type 1)
GenderFemale
Credentials OWNER
Sole proprietorYes
NPI enumeratedOctober 24, 2016
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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