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1528393303
ANNETTE MACK
PHOENIX, AZ
NPI
1528393303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP041359)
Enumeration Date
2009-10-12
Last Update Date
2009-10-12
Business Address
-- ANNETTE MACK LPN
6909 S 38TH DR
PHOENIX, AZ 85041-6195
Phone number: 602-446-8474
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Mailing Address
-- ANNETTE MACK LPN
6909 S 38TH DR
PHOENIX, AZ 85041-6195
Phone number: 602-446-8474
Copy
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