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1861773152
SUSANNAH DIMOND
TUBA CITY, AZ
NPI
1861773152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001107513)
Enumeration Date
2011-08-31
Last Update Date
2011-08-31
Business Address
-- SUSANNAH DIMOND rn
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- SUSANNAH DIMOND rn
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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