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Individual

MS. DEBORAH ROSE DICICCO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3141 N 3RD AVE, SUITE 100, PHOENIX, AZ 85013-4351
(602) 745-7953
(602) 745-7949
Mailing address
34 W CAMBRIDGE AVE, PHOENIX, AZ 85003-1003
(602) 571-0040
(602) 745-7949

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1474
AZ

Other

Enumeration date
02/20/2006
Last updated
07/08/2007
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