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1184925216
SHAWNA DIANE MORA
TUBA CITY, AZ
NPI
1184925216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN136331)
Enumeration Date
2010-11-05
Last Update Date
2010-11-05
Business Address
-- SHAWNA DIANE MORA rn
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- SHAWNA DIANE MORA rn
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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