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1730808106
CLARISSA MARIE AVILA
EL MIRAGE, AZ
NPI
1730808106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
CLARISSA MARIE AVILA
14317 N 129TH DR
EL MIRAGE, AZ 85335-4353
Phone number: 877-809-5092
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Mailing Address
CLARISSA MARIE AVILA
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395-2713
Phone number: 877-809-5092
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