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1225275191
COREY DU JUAN STARKS
TUCSON, AZ
NPI
1225275191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 1049220)
Enumeration Date
2009-01-14
Last Update Date
2009-01-14
Business Address
Mr. COREY DU JUAN STARKS
4880 N SABINO CANYON RD APT 4219
TUCSON, AZ 85750-7008
Phone number: 816-956-1487
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Mailing Address
Mr. COREY DU JUAN STARKS
4880 N SABINO CANYON RD APT 4219
TUCSON, AZ 85750-7008
Phone number: 816-956-1487
Copy
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