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1386071645
RICHARD CHARLES CORCORAN
TUBA CITY, AZ
NPI
1386071645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 110089)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
RICHARD CHARLES CORCORAN RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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Mailing Address
RICHARD CHARLES CORCORAN RN
PO BOX 600 PFS BUSINESS OFFICE
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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