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1962628271
ELAINE MARIE NEW MOON
PHOENIX, AZ
NPI
1962628271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ RN064934)
Enumeration Date
2007-04-17
Last Update Date
2009-05-18
Business Address
ELAINE MARIE NEW MOON FNP
4520 N CENTRAL AVE STE 130 WILCOX SUMMER HAWK RANCH
PHOENIX, AZ 85012-1804
Phone number: 602-424-1600
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Mailing Address
ELAINE MARIE NEW MOON FNP
4520 N CENTRAL #130 WILCOX SUMMER HAWK RANCH
PHOENIX, AZ 85012
Phone number: 602-424-1600
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