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1184088205
SAMANTHA MAXINE RUSS
TUBA CITY, AZ
NPI
1184088205
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Other Name
SAMANTHA MAXINE HALTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN157841)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
MS. SAMANTHA MAXINE RUSS RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
MS. SAMANTHA MAXINE RUSS RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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