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1144903311
BIANCA MCKINNEY
LAVEEN, AZ
NPI
1144903311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
BIANCA MCKINNEY
4622 W FREMONT RD
LAVEEN, AZ 85339-4277
Phone number: 480-335-4134
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Mailing Address
BIANCA MCKINNEY
4622 W FREMONT RD
LAVEEN, AZ 85339-4277
Phone number: 480-335-4134
Copy
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