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Individual

CASEY MANZANEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
35900 E CHARBRAY DR., SAN TAN VALLEY, AZ 85143
(480) 987-7608
(480) 888-0349
Mailing address
PO BOX 2850, FLORENCE, AZ 85132-3053
(480) 987-7608
(480) 888-0349

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042617
AZ

Other

Enumeration date
10/18/2013
Last updated
10/18/2013
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