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1326736349
DIETRICH W PITCHFORD
CASA GRANDE, AZ
NPI
1326736349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
DIETRICH W PITCHFORD
1515 E FLORENCE BLVD STE 103
CASA GRANDE, AZ 85122-5334
Phone number: 773-469-9515
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Mailing Address
DIETRICH W PITCHFORD
5326 W MCNEIL ST
LAVEEN, AZ 85339-9606
Phone number: 773-469-9515
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