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Individual

DEBRAH HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2002 E CONCORDA DR, TEMPE, AZ 85282-2999
(480) 967-8933
Mailing address
2002 E CONCORDA DR, TEMPE, AZ 85282-2999
(480) 967-8933

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN074256
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48096789334803
AZ
05
602-717-3963
AZ
Enumeration date
12/07/2022
Last updated
12/07/2022
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