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1467690701
EDGAR ESTEBAN PORTILLO
TUCSON, AZ
NPI
1467690701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP3259)
Enumeration Date
2009-01-24
Last Update Date
2011-12-13
Business Address
Mr. EDGAR ESTEBAN PORTILLO FNP-BC
1310 W SAINT MARYS RD
TUCSON, AZ 85745-3170
Phone number: 520-622-1366
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Mailing Address
Mr. EDGAR ESTEBAN PORTILLO FNP-BC
1310 W SAINT MARYS RD
TUCSON, AZ 85745-3170
Phone number: 520-622-1366
Copy
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