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1174103196
MARY JANE GOH
TUBA CITY, AZ
NPI
1174103196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: AZ 380918)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
MARY JANE GOH
337 LOLOMA ST
TUBA CITY, AZ 86045-0015
Phone number: 928-283-4771
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Mailing Address
MARY JANE GOH
PO BOX 2501
TUBA CITY, AZ 86045-2501
Phone number: 928-640-1118
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