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1154091932
JONATHAN HOWELL RUTHERFORD
SIERRA VISTA, AZ
NPI
1154091932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 260129)
Enumeration Date
2021-09-14
Last Update Date
2022-02-10
Business Address
JONATHAN HOWELL RUTHERFORD PMHNP
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635-2900
Phone number: 520-459-3011
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Mailing Address
JONATHAN HOWELL RUTHERFORD PMHNP
1205 N F AVE
DOUGLAS, AZ 85607-1920
Phone number: 520-364-6852
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