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Individual

JODI MARIE FANTINI-BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310
Mailing address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260530
AZ

Other

Enumeration date
10/01/2024
Last updated
10/01/2024
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