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1194193995
AERIELLE ALFRED
TUBA CITY, AZ
NPI
1194193995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA1000045321)
Enumeration Date
2015-09-10
Last Update Date
2015-09-10
Business Address
-- AERIELLE ALFRED Certified Nurse Assi
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-783-2981
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Mailing Address
-- AERIELLE ALFRED Certified Nurse Assi
PO BOX 600
TUBA CITY, AZ 86045
Phone number: 728-283-2781
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