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1518016708
SHERRY LAVONNE TULLOCK
PHOENIX, AZ
NPI
1518016708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ RN026453)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- SHERRY LAVONNE TULLOCK RNFA
250 E DUNLAP AVE
PHOENIX, AZ 85020-2825
Phone number: 602-870-6060
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Mailing Address
-- SHERRY LAVONNE TULLOCK RNFA
1730 W PALOS VERDES DR
WICKENBURG, AZ 85390-3607
Phone number: 602-864-7028
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