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1710112628
NANCI D GAINSFORTH
PHOENIX, AZ
NPI
1710112628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10593)
Enumeration Date
2009-05-20
Last Update Date
2009-05-20
Business Address
MS. NANCI D GAINSFORTH LISAC
1415 N 1ST ST
PHOENIX, AZ 85004-1604
Phone number: 602-685-6000
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Mailing Address
MS. NANCI D GAINSFORTH LISAC
3003 N CENTRAL AVE SUITE 200
PHOENIX, AZ 85012-2902
Phone number: 602-685-6000
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