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1720378532
MISSOURI FORD
PHOENIX, AZ
NPI
1720378532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 2477902)
Enumeration Date
2011-04-13
Last Update Date
2011-04-13
Business Address
-- MISSOURI FORD
1735 W MISSOURI AVE #408
PHOENIX, AZ 85015-2605
Phone number: 602-643-6577
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Mailing Address
-- MISSOURI FORD
1735 W MISSOURI AVE #408
PHOENIX, AZ 85015-2605
Phone number: 602-643-6577
Copy
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