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1669924445
MARY JIMENEZ
FORT HUACHUCA, AZ
NPI
1669924445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP034213)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
MARY JIMENEZ LPN
2240 WINROW AVE USA MEDDAC,RWBAHC
FORT HUACHUCA, AZ 85613
Phone number: 520-533-9033
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Mailing Address
MARY JIMENEZ LPN
547 E CAMINO DE MANANA
HUACHUCA CITY, AZ 85616-8137
Phone number: 520-559-5705
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