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1811298060
MAYBELLE CODY UPSHAW
TUBA CITY, AZ
NPI
1811298060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA999952714)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
-- MAYBELLE CODY UPSHAW
167 N. MAIN ST.
TUBA CITY, AZ 86045
Phone number: 928-283-2559
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Mailing Address
-- MAYBELLE CODY UPSHAW
PO BOX 1423
TUBA CITY, AZ 86045
Phone number:
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