Individual
MARY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S WILDFLOWER DR, GOODYEAR, AZ 85338-6869
(623) 772-5210
Mailing address
325 S WILDFLOWER DR, GOODYEAR, AZ 85338-6869
(623) 772-5210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP024736
AZ
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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