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1912237397
ALBERT POTTER
PHOENIX, AZ
NPI
1912237397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 10669)
Enumeration Date
2010-01-06
Last Update Date
2010-01-06
Business Address
Mr. ALBERT POTTER L.I.S.A.C.
5043 W. CAMPBELL AVE.
PHOENIX, AZ 85031
Phone number: 623-247-7877
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Mailing Address
Mr. ALBERT POTTER L.I.S.A.C.
5049 W. CAMPBELL AVE.
PHOENIX, AZ 85031
Phone number: 623-247-7877
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