1366628422

Everything you always wanted to know about SCOTT ELLEN JO but were afraid to ask.

SCOTT ELLEN JO

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Provider Last Name Provider Middle Name Provider First Name
SCOTT ELLEN JO
Gender:
Female
Enumeration date:
2008-01-18
Last update date:
2008-02-01
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
163W00000X Registered Nurse AZ TRN14850

Phone Numbers

Type Number
Practice Location Address Telephone Number 4802798015

Addresses

Type Address City State Postal Country
Mailing Address 2935 S RECKER RD GILBERT AZ 85295 AZ
Practice Location Address 2935 S RECKER RD GILBERT AZ 85295 AZ

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