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1013462548
LISA ANN MADEYA
GLENDALE, AZ
NPI
1013462548
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Former Name
LISA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP024139)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- LISA ANN MADEYA
6330 W THUNDERBIRD RD
GLENDALE, AZ 85306-4002
Phone number: 623-412-4603
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Mailing Address
-- LISA ANN MADEYA
6330 W THUNDERBIRD RD
GLENDALE, AZ 85306-4002
Phone number: 623-412-4603
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