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1396951901
LISA ANN FEDDERSEN
MESA, AZ
NPI
1396951901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: AZ RN133209)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- LISA ANN FEDDERSEN R.N.
1450 S DOBSON RD STE B324
MESA, AZ 85202-4712
Phone number: 480-889-1573
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Mailing Address
-- LISA ANN FEDDERSEN R.N.
16824 N 51ST ST
SCOTTSDALE, AZ 85254-1065
Phone number: 602-692-2722
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