GEORGE DESTEFANO

FLAGSTAFF, AZ
NPI1235386913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: AZ  RN083316)
Enumeration Date2008-08-25
Last Update Date2009-11-19
Business Address
MR. GEORGE DESTEFANO RN
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-779-3366
Mailing Address
MR. GEORGE DESTEFANO RN
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-779-3366
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