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1790961233
TIM MARK HANNAH
TUCSON, AZ
NPI
1790961233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ BH-2721)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
Mr. TIM MARK HANNAH
4901 W CALLE DON ALFONSO
TUCSON, AZ 85757-1422
Phone number: 520-248-8838
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Mailing Address
Mr. TIM MARK HANNAH
4901 W CALLE DON ALFONSO
TUCSON, AZ 85757-1422
Phone number: 520-248-8838
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