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Individual

MR. JOHN CARTER PITMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18521 E QUEEN CREEK RD STE 105-247, QUEEN CREEK, AZ 85142-5827
(928) 259-5055
Mailing address
18521 E QUEEN CREEK RD STE 105-247, QUEEN CREEK, AZ 85142-5827

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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