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1144966086
WANETA JOHANNA CARTER
SUN CITY, AZ
NPI
1144966086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ 274297)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
Ms. WANETA JOHANNA CARTER SNP-C
12630 N 103RD AVE STE 142
SUN CITY, AZ 85351-3463
Phone number: 480-275-2022
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Mailing Address
Ms. WANETA JOHANNA CARTER SNP-C
2632 S 83RD AVE # 100-259
PHOENIX, AZ 85043-7206
Phone number: 623-810-4270
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