Individual
KATHRYN PUGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 S 174TH ST, GILBERT, AZ 85296-8220
(480) 988-2010
Mailing address
1465 S 174TH ST, GILBERT, AZ 85296-8220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN172720
AZ
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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