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1386939833
JUDITH A LANE
PHOENIX, AZ
NPI
1386939833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MA RN102217)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- JUDITH A LANE NP
4545 E SHEA BLVD 175
PHOENIX, AZ 85028-3074
Phone number: 602-464-5200
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Mailing Address
-- JUDITH A LANE NP
4545 E SHEA BLVD 175
PHOENIX, AZ 85028-3074
Phone number: 602-464-5200
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