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Individual

MRS. JODI NICHOLE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4210
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4210

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO45582
AZ

Other

Enumeration date
09/03/2009
Last updated
09/03/2009
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