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1952617201
RICHARD EARL WADE
SAN TAN VALLEY, AZ
NPI
1952617201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ AP3524)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
RICHARD EARL WADE FNP-BC
1284 E MADDISON ST
SAN TAN VALLEY, AZ 85140-5765
Phone number: 480-283-7534
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Mailing Address
RICHARD EARL WADE FNP-BC
1284 E MADDISON ST
SAN TAN VALLEY, AZ 85140-5765
Phone number: 480-283-7534
Copy
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