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1730860917
BARISUKA NSAGANE
GLENDALE, AZ
NPI
1730860917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
BARISUKA NSAGANE
6610 N 47TH AVE STE 3
GLENDALE, AZ 85301-4163
Phone number: 623-806-4296
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Mailing Address
BARISUKA NSAGANE
6610 N 47TH AVE STE 3
GLENDALE, AZ 85301-4163
Phone number: 623-806-4296
Copy
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