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Individual

MR. JAMES ROBERT TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110966
AZ
163WE0003X
Emergency Registered Nurse
110966
AZ

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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