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1124704341
FREDDY SISANGO
PHOENIX, AZ
NPI
1124704341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
Mr. FREDDY SISANGO
3028 S 66TH LN
PHOENIX, AZ 85043-5714
Phone number: 602-540-0437
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Mailing Address
Mr. FREDDY SISANGO
3028 S 66TH LN
PHOENIX, AZ 85043-5714
Phone number: 602-540-0437
Copy
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