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1215624457
CRYSTAL ANN DIVIC
TUCSON, AZ
NPI
1215624457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ 290691)
Enumeration Date
2023-04-19
Last Update Date
2024-08-26
Business Address
CRYSTAL ANN DIVIC FNP
2252 W MAGEE RD STE 1
TUCSON, AZ 85742-4329
Phone number: 520-310-0811
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Mailing Address
CRYSTAL ANN DIVIC FNP
1751 W ORANGE GROVE RD SUITE 111
TUCSON, AZ 85704-5115
Phone number: 520-310-0811
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