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1760055099
RICO ANDREW SEGUN
PHOENIX, AZ
NPI
1760055099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ 235620)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
RICO ANDREW SEGUN ACNP
6036 N 19TH AVE STE 506
PHOENIX, AZ 85015-2143
Phone number: 602-841-0741
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Mailing Address
RICO ANDREW SEGUN ACNP
8005 W REDBIRD RD
PEORIA, AZ 85383-6264
Phone number: 602-716-1967
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