JACULIN KEROUAC

SCOTTSDALE, AZ
NPI1265837827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: AZ  AP7409)
Enumeration Date2014-10-24
Last Update Date2015-09-30
Business Address
JACULIN KEROUAC AGACNP
3501 N SCOTTSDALE RD STE 320
SCOTTSDALE, AZ 85251-5650
Phone number: 480-882-5740
Mailing Address
JACULIN KEROUAC AGACNP
3501 N SCOTTSDALE RD STE 320
SCOTTSDALE, AZ 85251-5650
Phone number: 480-882-5740
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