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1871874966
RANDY POLLENTES
TUBA CITY, AZ
NPI
1871874966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NM R56200)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
Mr. RANDY POLLENTES RN
167 NORTH MAIN ST
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Mr. RANDY POLLENTES RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number:
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