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1215785100
HAILEY TYANN HOUSE
PHOENIX, AZ
NPI
1215785100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
HAILEY TYANN HOUSE DO
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5700
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Mailing Address
HAILEY TYANN HOUSE DO
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-3827
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