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Individual

MRS. KATHLEEN G MOTUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
19680 S 188TH ST, QUEEN CREEK, AZ 85142-7067
(480) 279-7815
(480) 279-7805
Mailing address
19680 S 188TH ST, QUEEN CREEK, AZ 85142-7067
(480) 279-7815
(480) 279-7805

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN152033
AZ

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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