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1093574048
CANDACE B ORTIZ
GOODYEAR, AZ
NPI
1093574048
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Former Name
CANDACE SHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-009565)
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
CANDACE B ORTIZ
13851 W LA MAR BLVD STE D
GOODYEAR, AZ 85338-1389
Phone number: 623-399-6159
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Mailing Address
CANDACE B ORTIZ
12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335-3113
Phone number: 623-399-6159
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