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1336504612
TIMOTHY SEAN CORNELIUS
TUBA CITY, AZ
NPI
1336504612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 209733)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- TIMOTHY SEAN CORNELIUS RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
-- TIMOTHY SEAN CORNELIUS RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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