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1558190025
IRENE IMANI KWANGABA
PHOENIX, AZ
NPI
1558190025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Additional Taxonomies
225X00000X Occupational Therapist
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
IRENE IMANI KWANGABA OTD
3700 N 24TH ST STE 130
PHOENIX, AZ 85016-6535
Phone number: 602-903-4072
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Mailing Address
IRENE IMANI KWANGABA OTD
1001 W 17TH ST
TEMPE, AZ 85281-6415
Phone number: 760-412-9862
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