WARREN ELROY LYSTRUP

TUBA CITY, AZ
NPI1144561358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN175061)
Enumeration Date2013-03-13
Last Update Date2013-03-13
Business Address
Mr. WARREN ELROY LYSTRUP
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
Mailing Address
Mr. WARREN ELROY LYSTRUP
PO BOX 600 PFS BUSINESS OFFICE
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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