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Organization
T R MINAFEE FAMILY NURSE PRACTITIONER LLC
Active
Organization
T R MINAFEE FAMILY NURSE PRACTITIONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MINAFEE (FNP)
(414) 803-7824
Entity
Organization
Contact information
Practice address
4516 W MAGDALENA LN, LAVEEN, AZ 85339-2350
(414) 803-7824
Mailing address
4516 W MAGDALENA LN, LAVEEN, AZ 85339-2350
(414) 803-7824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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