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Individual

JEFF JOHN WAKNITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14820 W WETHERSFIELD RD, SURPRISE, AZ 85379-5968
(623) 512-8700
Mailing address
14820 W WETHERSFIELD RD, SURPRISE, AZ 85379-5968
(623) 512-8700

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
RN143951
AZ

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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