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1023414414
CARRIE ANN FETTEROLF
PHOENIX, AZ
NPI
1023414414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
CARRIE ANN FETTEROLF BS, CLINICIAN I
940 E TURNEY AVE
PHOENIX, AZ 85014-4114
Phone number: 602-808-2819
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Mailing Address
CARRIE ANN FETTEROLF BS, CLINICIAN I
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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