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1205909041
AMY CARLEEN NEGOVAN
PRESCOTT, AZ
NPI
1205909041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ 164403)
Enumeration Date
2006-11-17
Last Update Date
2019-05-06
Business Address
Mrs. AMY CARLEEN NEGOVAN CPNP
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301-1641
Phone number: 928-771-5662
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Mailing Address
Mrs. AMY CARLEEN NEGOVAN CPNP
13421 JEFFERSON AVE
HAWTHORNE, CA 90250-6019
Phone number: 310-978-1467
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