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1164025920
JAMIE LYNN MAINVILLE
PHOENIX, AZ
NPI
1164025920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 250087)
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
JAMIE LYNN MAINVILLE NP
11113 W TURNEY AVE
PHOENIX, AZ 85037-5319
Phone number: 602-903-0199
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Mailing Address
JAMIE LYNN MAINVILLE NP
11113 W TURNEY AVE
PHOENIX, AZ 85037-5319
Phone number: 602-903-0199
Copy
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