IDA WAGONER YAZZIE

WINSLOW, AZ
NPI1124330907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN163776)
Enumeration Date2010-07-08
Last Update Date2010-07-08
Business Address
-- IDA WAGONER YAZZIE RN
500 INDIANA AVE
WINSLOW, AZ 86047-2169
Phone number: 928-289-4646
Mailing Address
-- IDA WAGONER YAZZIE RN
500 INDIANA AVE
WINSLOW, AZ 86047-2169
Phone number: 928-289-4646
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