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1003104563
JIMMIE L TAYLOR
TUBA CITY, AZ
NPI
1003104563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: TN rn0000171351)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- JIMMIE L TAYLOR rn
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- JIMMIE L TAYLOR rn
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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