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1164251658
BOBBY MADEIRA
GILBERT, AZ
NPI
1164251658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-22829)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
BOBBY MADEIRA LAC
2314 S VAL VISTA DR STE 100
GILBERT, AZ 85295-5570
Phone number: 480-804-0326
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Mailing Address
BOBBY MADEIRA LAC
1400 E SOUTHERN AVE STE 735
TEMPE, AZ 85282-5699
Phone number: 480-804-0326
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