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Individual

MS. SABRA J VAN ORSDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN,RN,PHN

Contact information

Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1564
Mailing address
PO BOX 1702, GLOBE, AZ 85502-1702
(928) 425-3512

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN157794
AZ

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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