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1144836669
SALIM OTIENO ODIERO
MESA, AZ
NPI
1144836669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ BH5615)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
Mr. SALIM OTIENO ODIERO
9138 E DENNIS ST
MESA, AZ 85207-6008
Phone number: 480-380-4413
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Mailing Address
Mr. SALIM OTIENO ODIERO
9138 E DENNIS ST
MESA, AZ 85207-6008
Phone number: 480-380-4413
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