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1336203546
SUZAN PORTER
GLENDALE, AZ
NPI
1336203546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care Respite Care, Mental Illness, Child
(Licence: AZ 9550)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
SUZAN PORTER
7427 W ROBIN LN
GLENDALE, AZ 85310-5679
Phone number: 623-463-5882
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Mailing Address
SUZAN PORTER
7427 W ROBIN LN
GLENDALE, AZ 85310-5679
Phone number: 623-463-5882
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