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1063877389
MA FATIMA BALFORLYN TAN
TUBA CITY, AZ
NPI
1063877389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VT 0033172)
Enumeration Date
2015-12-31
Last Update Date
2015-12-31
Business Address
MA FATIMA BALFORLYN TAN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
MA FATIMA BALFORLYN TAN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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