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Individual

MRS. GRACE BELDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3637 N 55TH AVE, PHOENIX, AZ 85031-2503
(623) 691-5015
Mailing address
3637 N 55TH AVE, PHOENIX, AZ 85031-2503
(623) 691-5015

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045583
AZ

Other

Enumeration date
12/01/2009
Last updated
12/01/2009
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