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1760920870
JOHANNA AVILEZ
PHOENIX, AZ
NPI
1760920870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: AZ 59164)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- JOHANNA AVILEZ CTRS
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-448-4505
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Mailing Address
-- JOHANNA AVILEZ CTRS
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-448-4505
Copy
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