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1316017817
AISSATA KEITA
TUCSON, AZ
NPI
1316017817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ BH-2647)
Enumeration Date
2006-11-09
Last Update Date
2007-07-09
Business Address
AISSATA KEITA
5818 E ROSEWOOD ST
TUCSON, AZ 85711-1533
Phone number: 520-514-2121
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Mailing Address
AISSATA KEITA
5818 E ROSEWOOD ST
TUCSON, AZ 85711-1533
Phone number: 520-514-2121
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