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Individual

MRS. CHERYL GARRETT HOLMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACM

Contact information

Practice address
CORNER OF N12 AND N7, FORT DEFIANCE, AZ 86504-8650
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
1-138208
AL
163WI0600X
Infection Control Registered Nurse
Primary
RN199118
AZ

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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