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Organization
TAKE CARE HEALTH ARIZONA PC
Active
Organization
TAKE CARE HEALTH ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HEGG (ASSISTANT SECRETARY)
(217) 709-2469
Entity
Organization
Contact information
Practice address
10405 LA CANADA DR, TUCSON, AZ 85737-3945
(855) 925-4733
(217) 709-2345
Mailing address
1901 E VOORHEES ST, MS 640, DANVILLE, IL 61834-4509
(855) 925-4733
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281595
—
AZ
Enumeration date
10/09/2007
Last updated
05/04/2018
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