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1053768762
SASHA DOUGLAS
LAVEEN, AZ
NPI
1053768762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AZ 6032137)
Enumeration Date
2016-05-23
Last Update Date
2016-05-23
Business Address
Ms. SASHA DOUGLAS
8709 S 47TH LN
LAVEEN, AZ 85339-2179
Phone number: 602-243-1773
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Mailing Address
Ms. SASHA DOUGLAS
8709 S 47TH LN
LAVEEN, AZ 85339-2179
Phone number: 602-243-1773
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