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Individual

CORTASHA RAE BEGAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
5 MILES N OF FT DEFIANCE JCT RT 12 MILE MARKER 34, FORT DEFIANCE, AZ 86504
(928) 814-4012
Mailing address
PO BOX 57, FORT DEFIANCE, AZ 86504-0057
(928) 814-4012

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D01342573
AZ

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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