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1356517676
JOSHUA LOCKE AZEVEDO
TEMPE, AZ
NPI
1356517676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 1644)
Enumeration Date
2008-05-06
Last Update Date
2008-05-13
Business Address
Mr. JOSHUA LOCKE AZEVEDO L.I.S.A.C.
648 S RIVER DR
TEMPE, AZ 85281-3012
Phone number: 480-921-4050
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Mailing Address
Mr. JOSHUA LOCKE AZEVEDO L.I.S.A.C.
1753 E BROADWAY RD 101-280
TEMPE, AZ 85282-2081
Phone number: 480-921-4050
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