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1255987475
IRA DAVIS DENNY
SURPRISE, AZ
NPI
1255987475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 230921)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
Mr. IRA DAVIS DENNY APRN-FNP
16007 N 171ST LN
SURPRISE, AZ 85388-0211
Phone number: 623-570-7498
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Mailing Address
Mr. IRA DAVIS DENNY APRN-FNP
16007 N 171ST LN
SURPRISE, AZ 85388-0211
Phone number: 623-570-7498
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