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1700130028
CHAD CARTER DANCE
GLENDALE, AZ
NPI
1700130028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP4696)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- CHAD CARTER DANCE F-NP
20325 N 51ST AVE 160
GLENDALE, AZ 85308-5674
Phone number: 623-466-6350
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Mailing Address
-- CHAD CARTER DANCE F-NP
20325 N 51ST AVE 160
GLENDALE, AZ 85308-5674
Phone number: 623-466-6350
Copy
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