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1558521534
ROBERT NIEDERBERG
PHOENIX, AZ
NPI
1558521534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ lp041509)
Enumeration Date
2008-06-12
Last Update Date
2008-06-12
Business Address
-- ROBERT NIEDERBERG LPN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
-- ROBERT NIEDERBERG LPN
PO BOX 31001-0698
PASADENA, CA 91110-0001
Phone number: 602-263-1200
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