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1467807131
SHARAN WIEBERDINK
SAN MANUEL, AZ
NPI
1467807131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP8667)
Enumeration Date
2016-04-29
Last Update Date
2018-05-18
Business Address
SHARAN WIEBERDINK FNP
23 S MCNAB PKWY
SAN MANUEL, AZ 85631
Phone number: 520-385-2234
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Mailing Address
SHARAN WIEBERDINK FNP
PO BOX 10097
CASA GRANDE, AZ 85130-0020
Phone number: 520-836-3446
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