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Individual

MRS. CHRISTINE MARION OWEN CARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1330 E CARSON DR, TEMPE, AZ 85282-7105
(480) 897-2744
(480) 839-7325
Mailing address
1330 E CARSON DR, TEMPE, AZ 85282-7105
(480) 897-2744
(480) 839-7325

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079923
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
571689
AHCCCS PROVIDER ID
AZ
Enumeration date
02/08/2007
Last updated
07/08/2007
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