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MR. JERRY LEE BEGAY

>> Chore Provider >> Nursing Service Related Providers

Registrant NPI Number: 1750506382

Individual Registrant:
MR. JERRY LEE BEGAY 
Gender: M
Sole Proprietor

Location and contact information for practice:
2.5 MI WEST MP 0 NAVAJO ROUTE 5  INDIAN WELL, AZ 86031-0636 US
Tel: 602-363-4901  Fax: --

Contact information for business:
PO BOX 636  HOLBROOK, AZ 86025-0636 US
Tel: 602-363-4901  Fax: --

Registration Information:
NPI: 1750506382
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X372500000XNursing Service Related Providers
Chore Provider
X372600000XNursing Service Related Providers
Adult Companion
X3747A0650XNursing Service Related Providers
Technician
X3747P1801XNursing Service Related Providers
Technician
X374U00000XNursing Service Related Providers
Home Health Aide
X376J00000XNursing Service Related Providers
Homemaker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AHCCCS PROVIDER ID NUMBER630203AZ01




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