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1194050039
LUCIA SOMODEAN
PEORIA, AZ
NPI
1194050039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AZ AL5800H)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- LUCIA SOMODEAN
20493 N 91ST DR
PEORIA, AZ 85382-5271
Phone number: 602-716-1189
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Mailing Address
-- LUCIA SOMODEAN
20493 N 91ST DR
PEORIA, AZ 85382-5271
Phone number: 602-716-1189
Copy
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