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1912290313
ENOC CAMPISTA
PHOENIX, AZ
NPI
1912290313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP046135)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
ENOC CAMPISTA
1817 N 7TH ST
PHOENIX, AZ 85006-2133
Phone number: 602-257-3806
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Mailing Address
ENOC CAMPISTA
1817 N 7TH ST
PHOENIX, AZ 85006-2133
Phone number: 602-257-3806
Copy
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