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Individual

ALANA SUE LAURICELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2689 E JAGERSON AVE, KINGMAN, AZ 86409-1440
(928) 757-5100
(928) 757-4911
Mailing address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 753-5678
(928) 753-6910

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN140257
AZ

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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