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1073788279
JAVIER PARRA
PHOENIX, AZ
NPI
1073788279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AZ PENDING)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
JAVIER PARRA
3202 W FOLGERS RD
PHOENIX, AZ 85027-7004
Phone number: 623-492-0790
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Mailing Address
JAVIER PARRA
8311 S 141ST AVE
GOODYEAR, AZ 85338-9250
Phone number: 623-492-0790
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