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1538432646
KENNETH DEAN WILLIAM
TUBA CITY, AZ
NPI
1538432646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 535097)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- KENNETH DEAN WILLIAM RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- KENNETH DEAN WILLIAM RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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