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Individual

THOMAS LYNN QUIGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1100
Mailing address
1605 W WILLETTA ST, PHOENIX, AZ 85007-1819
(480) 250-0493

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
159101
AZ

Other

Enumeration date
09/07/2017
Last updated
09/07/2017
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