EDGAR MAYORQUIN

SAN LUIS, AZ
NPI1619462009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  AP11434)
Enumeration Date2018-06-27
Last Update Date2024-08-19
Business Address
EDGAR MAYORQUIN NP
1896 E BABBITT LN
SAN LUIS, AZ 85349
Phone number: 928-722-6112
Mailing Address
EDGAR MAYORQUIN NP
PO BOX 617
SOMERTON, AZ 85350-0617
Phone number: 928-662-0406
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