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1003284548
ELBERT FARMER
MESA, AZ
NPI
1003284548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-14
Last Update Date
2015-09-14
Business Address
-- ELBERT FARMER
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-696-1471
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Mailing Address
-- ELBERT FARMER
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-696-1471
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