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1083702716
STEPHANIE LOUISE HERRICK
LAKE HAVASU CITY, AZ
NPI
1083702716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP328)
Enumeration Date
2006-10-10
Last Update Date
2009-09-10
Business Address
Ms. STEPHANIE LOUISE HERRICK FNP
1987 MCCULLOCH BLVD N STE 101
LAKE HAVASU CITY, AZ 86403-5682
Phone number: 928-453-6963
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Mailing Address
Ms. STEPHANIE LOUISE HERRICK FNP
1988 SPRUCE DR
LAKE HAVASU CITY, AZ 86406-7514
Phone number: 928-575-6713
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