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1003230970
HAZAEL SHAKUR
PHOENIX, AZ
NPI
1003230970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LPO43693)
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- HAZAEL SHAKUR
3848 N 3RD AVE UNIT 2019
PHOENIX, AZ 85013-3461
Phone number: 602-435-3535
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Mailing Address
-- HAZAEL SHAKUR
3848 N 3RD AVE UNIT 2019
PHOENIX, AZ 85013-3461
Phone number: 602-435-3535
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