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1568216166
JOEY NICKOLAS BETTENCOURT
GLENDALE, AZ
NPI
1568216166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
JOEY NICKOLAS BETTENCOURT DO
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
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Mailing Address
JOEY NICKOLAS BETTENCOURT DO
14002 N 49TH AVE UNIT 1118
GLENDALE, AZ 85306-4940
Phone number: 209-204-0827
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