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Individual

KIMBERLY ALVIZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10002 W CAMPBELL AVE, PHOENIX, AZ 85037-5602
(623) 594-7050
Mailing address
10002 W CAMPBELL AVE, PHOENIX, AZ 85037-5602

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042862
AZ

Other

Enumeration date
05/14/2013
Last updated
05/14/2013
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