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1245854165
SAMANTHA DASTRUP
TUCSON, AZ
NPI
1245854165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ 242012)
Enumeration Date
2020-06-05
Last Update Date
2021-09-13
Business Address
SAMANTHA DASTRUP AGNP-C
5350 E ERICKSON DR
TUCSON, AZ 85712-2822
Phone number: 520-733-2250
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Mailing Address
SAMANTHA DASTRUP AGNP-C
4688 W TANGERINE RD APT 2105
MARANA, AZ 85658-4866
Phone number: 719-342-5809
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