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1831407865
JUDITH MARY LASSEN
KINGMAN, AZ
NPI
1831407865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP3817)
Enumeration Date
2010-09-24
Last Update Date
2019-01-02
Business Address
JUDITH MARY LASSEN FNP
1510 N STOCKTON HILL RD
KINGMAN, AZ 86401
Phone number: 928-753-1177
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Mailing Address
JUDITH MARY LASSEN FNP
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-522-9879
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