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1790349553
MARIE YVANA ISME
PHOENIX, AZ
NPI
1790349553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP040670)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
MARIE YVANA ISME LPN
4510 N 37TH AVE
PHOENIX, AZ 85019-3206
Phone number: 602-336-2920
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Mailing Address
MARIE YVANA ISME LPN
4510 N 37TH AVE
PHOENIX, AZ 85019-3206
Phone number: 602-336-2920
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