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1104982990
SOFIA T MENCHACA
CASA GRANDE, AZ
NPI
1104982990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 3763)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Mrs. SOFIA T MENCHACA
1016 S CAMPBELL DR
CASA GRANDE, AZ 85222-5004
Phone number: 520-836-0679
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Mailing Address
Mrs. SOFIA T MENCHACA
1016 S CAMPBELL DR
CASA GRANDE, AZ 85222-5004
Phone number: 520-836-0679
Copy
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