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1225363104
KEVIN JAY LAND
TUBA CITY, AZ
NPI
1225363104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: IL 041-305406)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- KEVIN JAY LAND RN,BSN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- KEVIN JAY LAND RN,BSN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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