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Individual

FAITH PEMBLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 068863
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
471095
AZ
Enumeration date
01/19/2006
Last updated
10/30/2007
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