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1356642003
CALLANDRA K MIKE
TUBA CITY, AZ
NPI
1356642003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AZ RN120627)
Enumeration Date
2010-11-11
Last Update Date
2010-11-11
Business Address
-- CALLANDRA K MIKE
167 NORTH MAIN ST
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- CALLANDRA K MIKE
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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