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1215047766
JOHN ROBERT KECK
GLENDALE, AZ
NPI
1215047766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ RN083769)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. JOHN ROBERT KECK N.P.
6376 W BELL RD
GLENDALE, AZ 85308-3602
Phone number: 623-486-8202
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Mailing Address
Mr. JOHN ROBERT KECK N.P.
4220 N 20TH AVE
PHOENIX, AZ 85015-5101
Phone number: 602-279-7655
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