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1992125504
AMBER BRODERSEN
TEMPE, AZ
NPI
1992125504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP049729)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- AMBER BRODERSEN
8700 S KYRENE RD
TEMPE, AZ 85284-2108
Phone number: 480-625-5959
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Mailing Address
-- AMBER BRODERSEN
8700 S KYRENE RD
TEMPE, AZ 85284-2108
Phone number: 480-625-5959
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