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1093110314
STEPHANIE LORRAINE JERNIGAN
EL MIRAGE, AZ
NPI
1093110314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: AZ AL8945H)
Enumeration Date
2014-10-29
Last Update Date
2014-10-29
Business Address
-- STEPHANIE LORRAINE JERNIGAN
12838 W VALENTINE AVE
EL MIRAGE, AZ 85335-8206
Phone number: 623-266-3546
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Mailing Address
-- STEPHANIE LORRAINE JERNIGAN
12838 W VALENTINE AVE
EL MIRAGE, AZ 85335-8206
Phone number: 623-266-3546
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