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1700179306
JOHN LEO MOFFATT
TUBA CITY, AZ
NPI
1700179306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2002022371)
Enumeration Date
2011-05-16
Last Update Date
2011-05-16
Business Address
Mr. JOHN LEO MOFFATT RN,BSN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Mr. JOHN LEO MOFFATT RN,BSN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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