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1154081677
BRYAN GAITANIS
QUEEN CREEK, AZ
NPI
1154081677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ 223457)
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
BRYAN GAITANIS FNP-BC
19137 E KINGBIRD DR
QUEEN CREEK, AZ 85142-5329
Phone number: 770-256-2775
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Mailing Address
BRYAN GAITANIS FNP-BC
19137 E KINGBIRD DR
QUEEN CREEK, AZ 85142-5329
Phone number: 770-256-2775
Copy
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