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1528758695
MICHELLE CARMEN DALE
GANADO, AZ
NPI
1528758695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: AZ UA2022082509)
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
MICHELLE CARMEN DALE
SR 264 & HWY 191
GANADO, AZ 86505
Phone number: 928-755-4586
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Mailing Address
MICHELLE CARMEN DALE
PO BOX 364
ST MICHAELS, AZ 86511-0364
Phone number: 928-797-9770
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