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Individual

MR. COSME TAASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1337 N ROADRUNNER RD, APACHE JUNCTION, AZ 85219-8942
(480) 694-8302
Mailing address
1337 N ROADRUNNER RD, APACHE JUNCTION, AZ 85219-8942
(480) 694-8302

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN046932
AZ

Other

Enumeration date
03/09/2009
Last updated
03/09/2009
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