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Individual

MRS. ANNETTA RACHELLE MEDAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2894
(520) 228-2185
Mailing address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 228-2894
(520) 228-2185

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN120006
AZ

Other

Enumeration date
09/27/2009
Last updated
09/27/2009
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