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1174915813
RIAZ KIPROTICH
GLENDALE, AZ
NPI
1174915813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
-- RIAZ KIPROTICH
5018 W CHRISTY DR
GLENDALE, AZ 85304-4324
Phone number: 623-242-7766
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Mailing Address
-- RIAZ KIPROTICH
5018 W CHRISTY DR
GLENDALE, AZ 85304-4324
Phone number: 623-242-7766
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