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1396208955
MANUELLA D KHOSHABA
GLENDALE, AZ
NPI
1396208955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: AZ 013818)
Enumeration Date
2019-04-10
Last Update Date
2021-02-03
Business Address
MANUELLA D KHOSHABA
7201 W CAMINO SAN XAVIER
GLENDALE, AZ 85308-3798
Phone number: 623-703-2748
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Mailing Address
MANUELLA D KHOSHABA
7201 W CAMINO SAN XAVIER
GLENDALE, AZ 85308-3798
Phone number: 623-703-2748
Copy
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