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1205275997
DEDRA A. WADSWORTH
PHOENIX, AZ
NPI
1205275997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ TAP5036)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
-- DEDRA A. WADSWORTH FNP
10240 N 31ST AVE STE 200
PHOENIX, AZ 85051-9565
Phone number: 602-344-2500
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Mailing Address
-- DEDRA A. WADSWORTH FNP
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5043
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