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1134573769
CONNIE THARP
PHOENIX, AZ
NPI
1134573769
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Former Name
CONNIE NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP029368)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
-- CONNIE THARP
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
-- CONNIE THARP
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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