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1548591159
COLLEEN MENDIETA
SURPRISE, AZ
NPI
1548591159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP047649)
Enumeration Date
2010-01-21
Last Update Date
2015-12-08
Business Address
-- COLLEEN MENDIETA
15802 N PARKVIEW PL
SURPRISE, AZ 85374-7466
Phone number: 623-523-8750
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Mailing Address
-- COLLEEN MENDIETA
15802 N PARKVIEW PL
SURPRISE, AZ 85374-7466
Phone number: 623-523-8750
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