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1134862766
AUTUMN R LORD
SAN TAN VALLEY, AZ
NPI
1134862766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
AUTUMN R LORD
1668 E KELSI AVE
SAN TAN VALLEY, AZ 85140-4085
Phone number: 480-616-5133
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Mailing Address
AUTUMN R LORD
1668 E KELSI AVE
SAN TAN VALLEY, AZ 85140-4085
Phone number: 480-616-5133
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