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1124644794
VINCENT P EKSTROM
PHOENIX, AZ
NPI
1124644794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 242271)
Enumeration Date
2020-06-19
Last Update Date
2024-03-18
Business Address
VINCENT P EKSTROM DNP
18628 N 43RD ST
PHOENIX, AZ 85050-3342
Phone number: 602-489-9606
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Mailing Address
VINCENT P EKSTROM DNP
18628 N 43RD ST
PHOENIX, AZ 85050-3342
Phone number: 602-489-9606
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