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1003359696
TAMMY MIRKAZEMI
AVONDALE, AZ
NPI
1003359696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: AZ BH4966)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- TAMMY MIRKAZEMI
13039 W CHEERY LYNN RD
AVONDALE, AZ 85392-6775
Phone number: 623-326-7137
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Mailing Address
-- TAMMY MIRKAZEMI
13039 W CHEERY LYNN RD
AVONDALE, AZ 85392-6775
Phone number: 623-326-7137
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