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Mr. Dante Naigan Agustin JR., REGISTEREDNURSE
Emergency Registered Nurse in Fort Defiance, Arizona
NPI 1114639051

Dante Naigan Agustin JR. is a Emergency Registered Nurse based in Conroe, AZ and is specialized in Emergency. Dante Naigan Agustin JR. practices in Fort Defiance, AZ and has the professional credentials of REGISTEREDNURSE. The NPI Number for Dante Naigan Agustin JR. is 1114639051 and holds a License No. 1088630 (Arizona).

The current practice location address for Dante Naigan Agustin JR. is Corner Of Routes N12 And N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8000.

Location: Corner Of Routes N12 And N7, Fort Defiance, AZ, 77384-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114639051
Provider Name
Dante Naigan Agustin JR.
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Male
Address
Corner Of Routes N12 And N7, Fort Defiance, AZ, 77384-2034
Phone Number
928-729-8000
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1088630 01 TX EMERGENCY ROOM REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
Corner Of Routes N12 And N7
City
Fort Defiance
State
Arizona
Zip
86504-8650
Phone Number
928-729-8000
Fax Number
person
Provider Business Mailing Address Details
Address
Corner Of Routes N12 And N7
City
Fort Defiance
State
Arizona
Zip
86504-8650
Phone Number
928-729-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
1088630 (Texas)
Definition
Definition to come...
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