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1295048700
TINA L ROTH
PHOENIX, AZ
NPI
1295048700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP046575)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
-- TINA L ROTH LPN
2321 E HIGHLAND AVE # 3135
PHOENIX, AZ 85016-5266
Phone number: 208-353-4209
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Mailing Address
-- TINA L ROTH LPN
2321 E HIGHLAND AVE # 3135
PHOENIX, AZ 85016-5266
Phone number: 208-353-4209
Copy
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