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Individual

MRS. THOMASINA JEAN BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2501 N 74TH ST, SCOTTSDALE, AZ 85257-1502
(480) 484-6800
(480) 484-6801
Mailing address
6045 E ROSE CIRCLE DR, PHOENIX, AZ 85018-6715
(480) 484-6811
(480) 484-6801

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079618
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
626187
AHCCCS
AZ
Enumeration date
01/22/2007
Last updated
07/08/2007
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