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1093177859
KATHLEEN G DESILVA
TUBA CITY, AZ
NPI
1093177859
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Former Name
KATHLEEN DUVAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001090868)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
Mrs. KATHLEEN G DESILVA RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
Mrs. KATHLEEN G DESILVA RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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