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Individual

MRS. CHRIS D. GUNDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 936-9740
(623) 907-5187
Mailing address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 936-9740
(623) 907-5187

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN130106
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040240
REGISTERED NURSE
AZ
Enumeration date
02/28/2007
Last updated
07/08/2007
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