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Individual

ROSEANN AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8409 N 111TH AVE, PEORIA, AZ 85345-2907
(623) 412-5204
Mailing address
8409 N 111TH AVE, PEORIA, AZ 85345-2907
(623) 412-5204

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0080289
CO

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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