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1295504850
HEATHER DE TERESA
MESA, AZ
NPI
1295504850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 301534)
Enumeration Date
2023-12-25
Last Update Date
2023-12-29
Business Address
HEATHER DE TERESA PMHNP
1722 N BANNING STE 101B
MESA, AZ 85205-3350
Phone number: 602-400-1879
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Mailing Address
HEATHER DE TERESA PMHNP
7965 S ABBEY LN
GILBERT, AZ 85298-7485
Phone number:
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