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Individual

MRS. CAROL ANN DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(520) 233-7111
(602) 357-4604
Mailing address
8550 E SPEEDWAY BLVD APT 133, TUCSON, AZ 85710-1749
(603) 344-6563

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN203767
AZ

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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