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1033661244
PHILLIP PRUSINSKI
PHOENIX, AZ
NPI
1033661244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP9609)
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
-- PHILLIP PRUSINSKI FNP
4350 N 19TH AVE #6
PHOENIX, AZ 85015-4602
Phone number: 480-607-1124
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Mailing Address
-- PHILLIP PRUSINSKI FNP
4350 N 19TH AVE #6
PHOENIX, AZ 85015-4602
Phone number: 480-607-1124
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