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1902121379
CLARENCE JASON VASTINE
GOODYEAR, AZ
NPI
1902121379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP3558)
Enumeration Date
2010-03-29
Last Update Date
2024-08-01
Business Address
Mr. CLARENCE JASON VASTINE FNP-C
13555 W MCDOWELL RD STE 103
GOODYEAR, AZ 85395-2625
Phone number: 623-932-1157
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Mailing Address
Mr. CLARENCE JASON VASTINE FNP-C
3815 E BELL RD STE 4500
PHOENIX, AZ 85032-2171
Phone number: 602-633-3848
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