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1619462009
EDGAR MAYORQUIN
SAN LUIS, AZ
NPI
1619462009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ AP11434)
Enumeration Date
2018-06-27
Last Update Date
2024-08-19
Business Address
EDGAR MAYORQUIN NP
1896 E BABBITT LN
SAN LUIS, AZ 85349
Phone number: 928-722-6112
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Mailing Address
EDGAR MAYORQUIN NP
PO BOX 617
SOMERTON, AZ 85350-0617
Phone number: 928-662-0406
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