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Individual

TAMMY SPRUILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9750 N 87TH AVE, PEORIA, AZ 85345-7016
(623) 412-4575
Mailing address
9750 N 87TH AVE, PEORIA, AZ 85345-7016

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN177063
AZ

Other

Enumeration date
03/28/2014
Last updated
03/28/2014
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