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1790853729
JOHN DAVID HACKER
PHOENIX, AZ
NPI
1790853729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AZ TRN142840)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- JOHN DAVID HACKER
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- JOHN DAVID HACKER
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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