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1558957811
TRENT W EDSTROM
PHOENIX, AZ
NPI
1558957811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ 233523)
Enumeration Date
2020-12-21
Last Update Date
2021-05-20
Business Address
TRENT W EDSTROM Nurse Practitioner
4901 W MCDOWELL RD STE 110
PHOENIX, AZ 85035-4160
Phone number: 623-849-9088
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Mailing Address
TRENT W EDSTROM Nurse Practitioner
6622 N 91ST AVE STE 220
GLENDALE, AZ 85305-2569
Phone number: 602-759-6883
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