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1003116948
REGINA LAWRENCE
PHOENIX, AZ
NPI
1003116948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP046553)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
-- REGINA LAWRENCE
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-4952
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Mailing Address
-- REGINA LAWRENCE
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-4952
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