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1497176937
KEITA WILLIS
PEORIA, AZ
NPI
1497176937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 5374347)
Enumeration Date
2013-12-31
Last Update Date
2013-12-31
Business Address
-- KEITA WILLIS
8159 W DEANNA DR
PEORIA, AZ 85382-3456
Phone number: 480-236-2677
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Mailing Address
-- KEITA WILLIS
8159 W DEANNA DR
PEORIA, AZ 85382-3456
Phone number: 480-236-2677
Copy
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