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MRS. ROSALYN HARRIETT PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1306866892

Individual Registrant:
MRS. ROSALYN  HARRIETT PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
227 MAIN ST.  DUNCAN, AZ 85534 US
Tel: 928-359-1380  Fax: 928-359-1381

Contact information for business:
PO BOX 1625  PAGE, AZ 86040-1625 US
Tel: 928-645-9675  Fax: 928-645-2626

Registration Information:
NPI: 1306866892
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
AZ2817

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
845042AZ05




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