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1336913847
SOLOMON TABE
LAVEEN, AZ
NPI
1336913847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
(Licence: AZ BH8993)
Enumeration Date
2023-11-14
Last Update Date
2023-11-16
Business Address
SOLOMON TABE
6838 W PEDRO LN
LAVEEN, AZ 85339-4702
Phone number: 301-693-8818
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Mailing Address
SOLOMON TABE
6838 W PEDRO LN
LAVEEN, AZ 85339-4702
Phone number: 301-693-8818
Copy
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