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Individual

CHRISTINA MARIE DENETSO-BAHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
CORNER OF NAVAJO ROUTE 12 AND NAVAJO ROUTE 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN162458
AZ

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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