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1184938557
AURIAH G BLACKMOUNTAIN
TUBA CITY, AZ
NPI
1184938557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP021563)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
-- AURIAH G BLACKMOUNTAIN LPN
167 N MAIN ST
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- AURIAH G BLACKMOUNTAIN LPN
P.O. BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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