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1265020754
ANGEL CAMPOS
GLENDALE, AZ
NPI
1265020754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2021-01-09
Last Update Date
2021-01-09
Business Address
ANGEL CAMPOS
6235 N 89TH AVE
GLENDALE, AZ 85305-2475
Phone number: 623-216-2660
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Mailing Address
ANGEL CAMPOS
6235 N 89TH AVE
GLENDALE, AZ 85305-2475
Phone number: 623-216-2660
Copy
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