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Organization
TERESA LOERA LLC
Active
Organization
TERESA LOERA LLC
Active
Other names
TL Family Nurse Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BEGAY NP (NP)
(480) 652-9802
Entity
Organization
Contact information
Practice address
4150 W PEORIA AVE STE 122, PHOENIX, AZ 85029-3951
(602) 918-3225
Mailing address
4150 W PEORIA AVE STE 122, PHOENIX, AZ 85029-3951
(602) 918-3225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
06/30/2020
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