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1225262041
SALLY JOAN VANDE BERG
TUCSON, AZ
NPI
1225262041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP032723)
Enumeration Date
2009-05-07
Last Update Date
2009-05-07
Business Address
Mrs. SALLY JOAN VANDE BERG
16323 N SOTOL AVE
TUCSON, AZ 85739-8966
Phone number: 520-603-0027
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Mailing Address
Mrs. SALLY JOAN VANDE BERG
16323 N SOTOL AVE
TUCSON, AZ 85739-8966
Phone number: 520-603-0027
Copy
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