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1144797374
PRESTIGE PRIMARY CARE, PLLC
QUEEN CREEK, AZ
NPI
1144797374
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Entity Type
Organization
Authorized Contact
CANDEE J EISENHART
Owner
480-815-7074
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2018-10-25
Last Update Date
2022-04-05
Business Address
PRESTIGE PRIMARY CARE, PLLC
21321 E OCOTILLO RD STE 102
QUEEN CREEK, AZ 85142-5993
Phone number: 480-815-7074
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Mailing Address
PRESTIGE PRIMARY CARE, PLLC
PO BOX 1009
QUEEN CREEK, AZ 85142-1821
Phone number: 480-815-7074
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