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1982072211
CHARLOTTE MARIE TACK DEMOTT
SCOTTSDALE, AZ
NPI
1982072211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY 306786)
Enumeration Date
2015-09-03
Last Update Date
2023-04-26
Business Address
CHARLOTTE MARIE TACK DEMOTT NP-C
9201 E MOUNTAIN VIEW RD SUITE 220
SCOTTSDALE, AZ 85258-5199
Phone number: 480-862-1721
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Mailing Address
CHARLOTTE MARIE TACK DEMOTT NP-C
9201 E MOUNTAIN VIEW RD SUITE 220
SCOTTSDALE, AZ 85258-5199
Phone number:
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