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1336519552
JEFFREY LUCKETT
PHOENIX, AZ
NPI
1336519552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ AP8054)
Enumeration Date
2015-09-30
Last Update Date
2023-05-05
Business Address
JEFFREY LUCKETT
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020-2463
Phone number: 480-999-4954
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Mailing Address
JEFFREY LUCKETT
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020-2463
Phone number: 480-999-4954
Copy
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