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1114262045
CREATIVE LIFE
PHOENIX, AZ
NPI
1114262045
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Entity Type
Organization
Authorized Contact
ORLANDO DIAZ
Case Manager
602-291-5863
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
(Licence: NV x)
Enumeration Date
2012-12-04
Last Update Date
2022-07-21
Business Address
CREATIVE LIFE
2443 N 37TH WAY
PHOENIX, AZ 85008-2219
Phone number: 602-291-5863
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Mailing Address
CREATIVE LIFE
2443 N 37TH WAY
PHOENIX, AZ 85008-2219
Phone number: 602-291-5863
Copy
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