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1780748020
MARY E LILLY
PHOENIX, AZ
NPI
1780748020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: AZ RN073484)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- MARY E LILLY
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- MARY E LILLY
PO BOX 31001
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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