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1528895182
GINNO DE LEON
SURPRISE, AZ
NPI
1528895182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 314334)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
GINNO DE LEON PMHNP-BC
14894 W VALENTINE ST
SURPRISE, AZ 85379-4277
Phone number: 480-278-5842
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Mailing Address
GINNO DE LEON PMHNP-BC
14894 W VALENTINE ST
SURPRISE, AZ 85379-4277
Phone number: 480-278-5842
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