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1689070344
LATASHA DYNETTE CARPENTER
MESA, AZ
NPI
1689070344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
LATASHA DYNETTE CARPENTER RMA
262 E UNIVERSITY DR
MESA, AZ 85201-5932
Phone number: 602-599-5642
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Mailing Address
LATASHA DYNETTE CARPENTER RMA
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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