TYRUS HOLMAN
Nursing at 16 St, Phoenix, AZ

License number
Arizona RN131136
Category
Nursing
Type
Registered Nurse
Address
Address 2
4212 N 16Th St, Phoenix, AZ 85016
P O 0698, Pasadena, CA 91110
Phone
(602) 263-1200
(602) 200-5383 (Fax)
National Provider ID: 1659826261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Tyrus Holman, age 48
2428 E Narrowleaf Dr, Gilbert, AZ 85298

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