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1477979607
KRYSTAL COLLINS
QUEEN CREEK, AZ
NPI
1477979607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AZ 514514)
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- KRYSTAL COLLINS
21010 S 220TH PL
QUEEN CREEK, AZ 85142-5583
Phone number: 602-502-2388
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Mailing Address
-- KRYSTAL COLLINS
21010 S 220TH PL
QUEEN CREEK, AZ 85142-5583
Phone number:
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