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1033658323
DERRAINNYA FUENTES
QUEEN CREEK, AZ
NPI
1033658323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
405300000X Prevention Professional
(Licence: AZ 4439413)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
Dr. DERRAINNYA FUENTES PhD
19935 E CHANDLER HEIGHTS RD
QUEEN CREEK, AZ 85142-9350
Phone number: 602-670-2115
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Mailing Address
Dr. DERRAINNYA FUENTES PhD
19935 E CHANDLER HEIGHTS ROAD
QUEEN CREEK, AZ 85142
Phone number: 602-670-2115
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