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1871029090
CAROLYN WANYAMA
MARICOPA, AZ
NPI
1871029090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: AZ AL10166H)
Enumeration Date
2017-05-08
Last Update Date
2017-05-08
Business Address
Mrs. CAROLYN WANYAMA
44880 W PORTABELLO ROAD
MARICOPA, AZ 85139
Phone number: 520-494-2626
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Mailing Address
Mrs. CAROLYN WANYAMA
44880 W PORTABELLO ROAD
MARICOPA, AZ 85139
Phone number: 480-374-0486
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