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Vinnolia Mcbride
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NPI Number Detailed Information
Provider Information:
| Name: | Vinnolia Mcbride |
| Gender: | F |
| Provider License Number If Given: | AP7091 |
NPI Information:
| NPI: | 1760485783 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 6/15/2017 |
Provider Business Mailing Address:
| Address: | PO BOX 10097 Casa Grande, AZ 85130 |
| Phone Number: | (520) 836-3446 |
| Fax Number: | 5208368807 |
Provider Business Practice Location Address:
| Address: | 1864 E FLORENCE BLVD STE 2 Casa Grande, AZ 85122 |
| Phone Number: | 5203810380 |
| Fax Number: | 5208361826 |
Provider Taxonomy:
| Primary: | 363LW0102X |
| Secondary (if any): | |
| State: | AZ |
