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1083499925
DEREK JONATHAN CARBAJAL
LAVEEN, AZ
NPI
1083499925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AZ RN205388)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
DEREK JONATHAN CARBAJAL RN
3921 W BASELINE RD
LAVEEN, AZ 85339-1801
Phone number: 602-764-4000
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Mailing Address
DEREK JONATHAN CARBAJAL RN
6837 E FLOSSMOOR AVE
MESA, AZ 85208-2613
Phone number: 602-725-8721
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