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1578292033
CARLSON TAMINANG
MARICOPA, AZ
NPI
1578292033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
CARLSON TAMINANG RN
20148 N DONITHAN WAY
MARICOPA, AZ 85138-2428
Phone number: 480-516-8103
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Mailing Address
CARLSON TAMINANG RN
20148 N DONITHAN WAY
MARICOPA, AZ 85138-2428
Phone number: 480-516-8103
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