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1104677814
SOPHIA FASANI
PHOENIX, AZ
NPI
1104677814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
SOPHIA FASANI
2000 W BETHANY HOME RD
PHOENIX, AZ 85015-2443
Phone number: 602-246-5521
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Mailing Address
SOPHIA FASANI
PO BOX 71711
PHOENIX, AZ 85050-1012
Phone number:
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