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1790484145
JOSEPHINE GIBSON JETER
LAVEEN, AZ
NPI
1790484145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP031966)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
JOSEPHINE GIBSON JETER
8225 S 59TH AVE
LAVEEN, AZ 85339-2886
Phone number: 602-764-9016
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Mailing Address
JOSEPHINE GIBSON JETER
999 E BASELINE RD APT 3105
TEMPE, AZ 85283-1307
Phone number: 520-788-0263
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