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1154038511
JASON FORD
MESA, AZ
NPI
1154038511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LAC-21166)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
JASON FORD LAC
1830 S ALMA SCHOOL RD
MESA, AZ 85210-3056
Phone number: 480-730-6222
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Mailing Address
JASON FORD LAC
4248 S RED ROCK ST
GILBERT, AZ 85297-4501
Phone number:
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