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Individual

MISS BETSY LYNN DESJARLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3605 E THOMAS RD, PHOENIX, AZ 85018-7505
(602) 427-0779
(602) 275-1716
Mailing address
2311 N 58TH ST, SCOTTSDALE, AZ 85257-1911
(719) 963-0633

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4978
AZ

Other

Enumeration date
05/07/2007
Last updated
01/11/2017
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