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1235386913
GEORGE DESTEFANO
FLAGSTAFF, AZ
NPI
1235386913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: AZ RN083316)
Enumeration Date
2008-08-25
Last Update Date
2009-11-19
Business Address
MR. GEORGE DESTEFANO RN
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-779-3366
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Mailing Address
MR. GEORGE DESTEFANO RN
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-779-3366
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