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1750603619
LISA LAFAYE LARRY
PHOENIX, AZ
NPI
1750603619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 449603)
Enumeration Date
2010-02-19
Last Update Date
2010-02-19
Business Address
-- LISA LAFAYE LARRY
1720 E THUNDERBIRD RD APT 2024
PHOENIX, AZ 85022-5770
Phone number: 480-593-7833
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Mailing Address
-- LISA LAFAYE LARRY
1720 E THUNDERBIRD RD APT 2024
PHOENIX, AZ 85022-5770
Phone number: 480-593-7833
Copy
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