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1366090102
SOPHIE GASTELUM
QUEEN CREEK, AZ
NPI
1366090102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AZ 230136)
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
SOPHIE GASTELUM
20521 E CANARY CT
QUEEN CREEK, AZ 85142-3406
Phone number: 208-420-6678
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Mailing Address
SOPHIE GASTELUM
484 W TOLEDO ST
CHANDLER, AZ 85225-4510
Phone number: 480-306-3827
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