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1881828259
VERDA DENETSOSIE
FLAGSTAFF, AZ
NPI
1881828259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 10701)
Enumeration Date
2009-05-13
Last Update Date
2009-05-13
Business Address
-- VERDA DENETSOSIE LISAC
2717 N STEVES BLVD STE 11
FLAGSTAFF, AZ 86004-3959
Phone number: 928-526-2968
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Mailing Address
-- VERDA DENETSOSIE LISAC
2717 N STEVES BLVD STE 11
FLAGSTAFF, AZ 86004-3959
Phone number: 928-526-2968
Copy
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