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1528600012
THOMAS J PEMBERTON
TEMPE, AZ
NPI
1528600012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AZ RN196326)
Enumeration Date
2019-10-16
Last Update Date
2020-07-28
Business Address
THOMAS J PEMBERTON
618 S MADISON DR
TEMPE, AZ 85281-7248
Phone number: 480-784-1514
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Mailing Address
THOMAS J PEMBERTON
11518 E APACHE TRL STE 129
APACHE JUNCTION, AZ 85120-3572
Phone number: 480-317-2214
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