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1508131608
KHAMEELAH SHABAZZ
PHOENIX, AZ
NPI
1508131608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Ms. KHAMEELAH SHABAZZ
1632 E VINEYARD RD
PHOENIX, AZ 85042-5724
Phone number: 602-268-5520
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Mailing Address
Ms. KHAMEELAH SHABAZZ
1632 E VINEYARD RD
PHOENIX, AZ 85042-5724
Phone number: 602-268-5520
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