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Individual

MS. PHYLLIS J WINANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
167 MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2791
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2791

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN065292
AZ

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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