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1316430903
ERINI CONSTANTINA BRADDOCK
PHOENIX, AZ
NPI
1316430903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ AP11343)
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
MRS. ERINI CONSTANTINA BRADDOCK FNP-C
3250 W LOWER BUCKEYE RD
PHOENIX, AZ 85009-6729
Phone number: 602-876-7137
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Mailing Address
MRS. ERINI CONSTANTINA BRADDOCK FNP-C
13257 W AVENIDA DEL REY
PEORIA, AZ 85383-3511
Phone number: 602-821-5461
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