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1811085095
TANA JEAN DESPAIN
QUEEN CREEK, AZ
NPI
1811085095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse School
(Licence: AZ RN028151)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
MRS. TANA JEAN DESPAIN RN
22149 E OCOTILLO RD
QUEEN CREEK, AZ 85242-7750
Phone number: 480-987-5966
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Mailing Address
MRS. TANA JEAN DESPAIN RN
1046 E WESTBROOKE RD
QUEEN CREEK, AZ 85242-7059
Phone number: 480-987-9257
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