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1720734445
CHARLENE BASCOM
GLENDALE, AZ
NPI
1720734445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
CHARLENE BASCOM
17235 N 75TH AVE SUITE G-120
GLENDALE, AZ 85308-0831
Phone number: 303-989-8169
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Mailing Address
CHARLENE BASCOM
17235 N 75TH AVE SUITE G-120
GLENDALE, AZ 85308-0831
Phone number:
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