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1477378180
JACQUELYN LA
MESA, AZ
NPI
1477378180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ 294658)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
JACQUELYN LA RN
2260 W ISABELLA AVE
MESA, AZ 85202-5599
Phone number: 480-472-4128
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Mailing Address
JACQUELYN LA RN
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3302
Phone number: 480-472-0562
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