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Organization
FOUR PEAKS ELEMENTARY SCHOOL
Active
Organization
FOUR PEAKS ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY PAM DICKERSON L.P.N. (SCHOOL NURSE)
(480) 982-1110
Entity
Organization
Contact information
Practice address
1755 N IDAHO RD, APACHE JUNCTION, AZ 85219-1716
(480) 982-1110
Mailing address
4126 N COLT RD, APACHE JUNCTION, AZ 85219-9643
(480) 516-9332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
AZ
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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