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1518473172
ANGELA CARLISLE
SAHUARITA, AZ
NPI
1518473172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 8770443)
Enumeration Date
2017-12-19
Last Update Date
2019-10-24
Business Address
ANGELA CARLISLE
14615 S AVENIDA CUCANA
SAHUARITA, AZ 85629-8620
Phone number: 503-919-0899
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Mailing Address
ANGELA CARLISLE
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC 994 S HARRISON RD
TUCSON, AZ 85748-6608
Phone number: 520-721-1887
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