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1477152916
ELVIS W DICKSON
MESA, AZ
NPI
1477152916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
(Licence: AZ 812921961A1)
Enumeration Date
2020-10-24
Last Update Date
2023-04-20
Business Address
ELVIS W DICKSON
10904 E SEBRING AVE
MESA, AZ 85212-5229
Phone number: 480-399-3727
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Mailing Address
ELVIS W DICKSON
10904 E SEBRING AVE
MESA, AZ 85212-5229
Phone number: 480-399-3727
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