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1316433493
ANDREI MARTIN
GLENDALE, AZ
NPI
1316433493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AZ al5696h)
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
ANDREI MARTIN
6338 W PORT ROYALE LN
GLENDALE, AZ 85306-3260
Phone number: 623-487-0488
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Mailing Address
ANDREI MARTIN
6338 W PORT ROYALE LN
GLENDALE, AZ 85306-3260
Phone number: 623-487-0488
Copy
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