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1649649385
JASMINE AZUCENA FERNANDEZ
AVONDALE, AZ
NPI
1649649385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 0313-P)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
JASMINE AZUCENA FERNANDEZ
350 E LA CANADA BLVD
AVONDALE, AZ 85323-1643
Phone number: 623-932-2282
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Mailing Address
JASMINE AZUCENA FERNANDEZ
10350 W MCDOWELL RD APT 3123
AVONDALE, AZ 85392-4827
Phone number:
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