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Individual
SHIRLEY ANN FURLONG
Active
Individual
SHIRLEY ANN FURLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN054782
AZ
164X00000X
Licensed Vocational Nurse
693674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093938441
AHCCCS
AZ
01
—
86-6000510
AHCCCS ADMINISTRATOR COUNTY OF MARICOPA ALHAMBRA SCHOOL DISTRICT NO 68
AZ
Enumeration date
10/25/2017
Last updated
01/24/2019
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