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1184781197
CHARLES W EVANS
YUMA, AZ
NPI
1184781197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: 5726)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- CHARLES W EVANS foster parent
10786 E 39TH ST
YUMA, AZ 85365-7047
Phone number: 928-539-5379
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Mailing Address
-- CHARLES W EVANS foster parent
10786 E 39TH ST
YUMA, AZ 85365-7047
Phone number: 928-539-5379
Copy
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