ProviderBusinessMailingAddressFaxNumber = '6022222679'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1467565721
PROCTOR
LYNDA
MARIE
 
650 E INDIAN SCHOOL RD
PHOENIX
AZ
850121839
1851405500
TIPPETT
LUVELL
 
 
650 E INDIAN SCHOOL RD
PHOENIX
AZ
850121839
Home