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1124731146
LENORE GAINES
MESA, AZ
NPI
1124731146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AZ BH7724)
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
LENORE GAINES
1334 E MILLETT AVE
MESA, AZ 85204-4343
Phone number: 619-971-9626
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Mailing Address
LENORE GAINES
1334 E MILLETT AVE
MESA, AZ 85204-4343
Phone number: 619-971-9626
Copy
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