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1063272334
DEREK B EASON
TEMPE, AZ
NPI
1063272334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ 305255)
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
Mr. DEREK B EASON AGNP-C
1492 S MILL AVE STE 212
TEMPE, AZ 85281-5664
Phone number: 480-410-4128
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Mailing Address
Mr. DEREK B EASON AGNP-C
1675 E MORTEN AVE UNIT 1120
PHOENIX, AZ 85020-4639
Phone number: 801-694-5382
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