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1720341498
SHANNON LYNN MAILBRY
TUBA CITY, AZ
NPI
1720341498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA1000013659)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- SHANNON LYNN MAILBRY CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- SHANNON LYNN MAILBRY CNA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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