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1891756193
MARYANN T HARDESTY
PHOENIX, AZ
NPI
1891756193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: ID 272)
Enumeration Date
2006-03-28
Last Update Date
2010-10-21
Business Address
-- MARYANN T HARDESTY ANP
4545 E SHEA BLVD
PHOENIX, AZ 85028-3074
Phone number: 602-464-5200
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Mailing Address
-- MARYANN T HARDESTY ANP
3834 S SUNTREE WAY
BOISE, ID 83706-6906
Phone number:
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