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1790438638
FRANKLIN FONUTCHI
CASA GRANDE, AZ
NPI
1790438638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2022-02-01
Last Update Date
2022-11-10
Business Address
FRANKLIN FONUTCHI
1087 W AVALON CANYON DR
CASA GRANDE, AZ 85122-6706
Phone number: 240-660-6597
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Mailing Address
FRANKLIN FONUTCHI
1087 W AVALON CANYON DR
CASA GRANDE, AZ 85122-6706
Phone number: 240-660-6597
Copy
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