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1447555297
STEPHANIE D KETNER
GLENDALE, AZ
NPI
1447555297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care Respite Care, Mental Illness, Child
(Licence: AZ 2281564)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
STEPHANIE D KETNER
4730 W SUNNYSIDE AVE
GLENDALE, AZ 85304-2927
Phone number: 602-413-0115
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Mailing Address
STEPHANIE D KETNER
4730 W SUNNYSIDE AVE
GLENDALE, AZ 85304-2927
Phone number: 602-413-0115
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