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Individual

LAURA AJERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1035 E JEFFERSON ST, PHOENIX, AZ 85034-2295
(602) 241-6656
(602) 241-7506
Mailing address
1035 E JEFFERSON ST, PHOENIX, AZ 85034-2295
(602) 241-6656
(602) 241-7506

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO24142
AZ

Other

Enumeration date
12/22/2015
Last updated
12/22/2015
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