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Individual

MS. SHAROLYN LIANE MCCLURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
2025 N 3RD ST, SUITE 170, PHOENIX, AZ 85004-1471
(602) 462-1132
(602) 462-1186
Mailing address
1393 W ORIOLE WAY, CHANDLER, AZ 85248-3161
(480) 659-7596

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP2145
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
953093
AZ
Enumeration date
08/03/2005
Last updated
08/13/2007
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