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1982982203
LISA MICHELLE KUNTZ
TUBA CITY, AZ
NPI
1982982203
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Former Name
LISA M BRACKETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 97472)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
-- LISA MICHELLE KUNTZ rn
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- LISA MICHELLE KUNTZ rn
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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