NICOLE ALISSA DEATHERAGE

TUCSON, AZ
NPI1417691338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AZ  R79300)
Enumeration Date2022-04-26
Last Update Date2022-04-26
Business Address
NICOLE ALISSA DEATHERAGE
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-626-6830
Mailing Address
NICOLE ALISSA DEATHERAGE
1501 N CAMPBELL AVE
TUCSON, AZ 85724-5108
Phone number: 520-626-6830
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