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1487312187
SANDRA LERDAL
PHOENIX, AZ
NPI
1487312187
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Former Name
SANDRA WIPF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ AG11210010)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
SANDRA LERDAL AGNP
13236 N 26TH PL
PHOENIX, AZ 85032-5903
Phone number: 605-929-7253
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Mailing Address
SANDRA LERDAL AGNP
7010 E ACOMA DR
SCOTTSDALE, AZ 85254-3553
Phone number:
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