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1457428062
LISA JAYME WHITEWATER
PHOENIX, AZ
NPI
1457428062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN115570)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- LISA JAYME WHITEWATER RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- LISA JAYME WHITEWATER RN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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