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MRS. SELENA DURAN

>> Chore Provider >> Nursing Service Related Providers

Registrant NPI Number: 1457564015

Individual Registrant:
MRS. SELENA  DURAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
5 MILES WEST OF WHITECONE HIGH SCHOOL ROUTE 77  KEAMS CANYON, AZ 86034 US
Tel: 928-797-5941  Fax: --

Contact information for business:
PO BOX 67 5 MILES WEST OF WHITECONE HIGH SCHOOL KEAMS CANYON, AZ 86034-0067 US
Tel: --  Fax: --

Registration Information:
NPI: 1457564015
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X372500000XNursing Service Related Providers
Chore Provider
X372600000XNursing Service Related Providers
Adult Companion
X3747A0650XNursing Service Related Providers
Technician
X3747P1801XNursing Service Related Providers
Technician
X376J00000XNursing Service Related Providers
Homemaker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE PROVIDER ID090787AZ01




HEALTH CARE JOBS AZ - Page 1



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