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Organization
WILLOW OAK, INC.
Active
Organization
WILLOW OAK, INC.
Active
Other names
Centennial Park Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE TIMPSON YARRISH FNP, CNM (GENERAL MANAGER)
(928) 875-8750
Entity
Organization
Contact information
Practice address
1675 S. BERRY KNOLL BLVD, COLORADO CITY, AZ 86021-1549
(928) 875-8750
(928) 875-8752
Mailing address
PO BOX 1549, COLORADO CITY, AZ 86021-1549
(928) 875-8750
(928) 875-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN083151
AZ
Other
Enumeration date
12/01/2006
Last updated
06/13/2008
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