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Organization

AZGASGIRL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA R. SKINNER CRNA (SOLE MEMBER)
(602) 273-6770
Entity
Organization

Contact information

Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(602) 273-6770
(602) 889-0489
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0268
AZ

Other

Enumeration date
11/19/2007
Last updated
05/23/2008
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