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1447017900
TIMOTHY DZIURMAN
PHOENIX, AZ
NPI
1447017900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP044962)
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
TIMOTHY DZIURMAN LPN
1234 E NORTHERN AVE
PHOENIX, AZ 85020-4274
Phone number: 602-331-1470
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Mailing Address
TIMOTHY DZIURMAN LPN
14824 W REDFIELD RD
SURPRISE, AZ 85379-7434
Phone number: 623-810-5584
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