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1154772853
SUSAN DIETERLE WAHL
TUBA CITY, AZ
NPI
1154772853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN170803)
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
Mrs. SUSAN DIETERLE WAHL RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
Mrs. SUSAN DIETERLE WAHL RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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