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LINDA GROOM RN

Community Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1154585818

Individual Registrant:
 LINDA  GROOM RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
470 S OCOTILLO AVE  BENSON, AZ 85602-6403 US
Tel: 520-287-4713  Fax: 520-287-9794

Contact information for business:
470 S OCOTILLO AVE  BENSON, AZ 85602-6403 US
Tel: 520-287-4713  Fax: 520-287-9794

Registration Information:
NPI: 1154585818
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
AZRN066905

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RNRN066905AZ01




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