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1790412609
WALLYS CELISIE
YUMA, AZ
NPI
1790412609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 8647)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
WALLYS CELISIE
901 W 24TH ST
YUMA, AZ 85364-6384
Phone number: 928-726-5000
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Mailing Address
WALLYS CELISIE
3324 E RAY RD UNIT 1706
HIGLEY, AZ 85236-4581
Phone number: 561-325-1657
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