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1144627381
THERESA JANE HANNIBAL
PRESCOTT, AZ
NPI
1144627381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ 138066)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
-- THERESA JANE HANNIBAL R.N.
525 PARK AVE
PRESCOTT, AZ 86303-4055
Phone number: 928-583-2839
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Mailing Address
-- THERESA JANE HANNIBAL R.N.
525 PARK AVE
PRESCOTT, AZ 86303-4055
Phone number: 928-583-2839
Copy
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