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1114288941
JAMES EDWARD VAN ECK
TUBA CITY, AZ
NPI
1114288941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704136663)
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- JAMES EDWARD VAN ECK RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- JAMES EDWARD VAN ECK RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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