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1679975825
PAMELA DENISE MATHIS
AVONDALE, AZ
NPI
1679975825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AZ 4866156)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
Mrs. PAMELA DENISE MATHIS
11120 W VAN BUREN ST APT 2117
AVONDALE, AZ 85323-7304
Phone number: 602-243-1773
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Mailing Address
Mrs. PAMELA DENISE MATHIS
11120 W VAN BUREN ST APT 2117
AVONDALE, AZ 85323-7304
Phone number: 602-243-1773
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