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1104284355
LISA LAURA GANEKO
PHOENIX, AZ
NPI
1104284355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: AZ RN195746)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- LISA LAURA GANEKO RN
7150 N 22ND ST
PHOENIX, AZ 85020-5605
Phone number: 602-664-7800
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Mailing Address
-- LISA LAURA GANEKO RN
7150 N 22ND ST
PHOENIX, AZ 85020-5605
Phone number: 602-664-7800
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