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1710262639
ARDELL CLAY DANIELS
GOODYEAR, AZ
NPI
1710262639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AZ 234348)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
ARDELL CLAY DANIELS
18115 W CARDINAL DR
GOODYEAR, AZ 85338-5112
Phone number: 602-931-3683
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Mailing Address
ARDELL CLAY DANIELS
18115 W CARDINAL DR
GOODYEAR, AZ 85338-5112
Phone number: 602-931-3683
Copy
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