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1912278854
EVANETTE EVETTE CHARLIE
TUBA CITY, AZ
NPI
1912278854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA1000030434)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
EVANETTE EVETTE CHARLIE CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
EVANETTE EVETTE CHARLIE CNA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number:
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