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Individual

JENNIFER DEANN CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., B.S.N.

Contact information

Practice address
1 MILE N OF PINON ON NAVAJO RTE 41, PINON, AZ 86510
(928) 725-2214
(928) 725-2216
Mailing address
PO BOX 839, PINON, AZ 86510
(928) 725-2214
(928) 725-2216

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN141280
AZ

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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