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TERRA STUBBLEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2311 W OLLA AVE, MESA, AZ 85202-7913
(503) 718-4778
Mailing address
2311 W OLLA AVE, MESA, AZ 85202-7913
(503) 718-4778

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
242891
AZ

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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