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1487722369
MIRANDA MCCOY
PHOENIX, AZ
NPI
1487722369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 11361)
Enumeration Date
2006-12-01
Last Update Date
2007-12-14
Business Address
-- MIRANDA MCCOY
5205 W FULTON ST
PHOENIX, AZ 85043-2000
Phone number: 623-204-8901
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Mailing Address
-- MIRANDA MCCOY
5205 W. FULTON
PHOENIX, AZ 85043
Phone number: 623-204-8901
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