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1780934505
KENDRAH JORDAN DAVIS
TUCSON, AZ
NPI
1780934505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 2485644)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
Mrs. KENDRAH JORDAN DAVIS BHPP
3226 SOUTH LAKESIDE DRIVE
TUCSON, AZ 85730
Phone number: 520-409-6566
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Mailing Address
Mrs. KENDRAH JORDAN DAVIS BHPP
3226 S. LAKESIDE DR.
TUCSON, AZ 85730
Phone number: 520-409-6566
Copy
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