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1912644162
SHALISE FERNANDER
TEMPE, AZ
NPI
1912644162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
SHALISE FERNANDER
1330 W AUTO DR
TEMPE, AZ 85284-1017
Phone number: 480-553-7153
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Mailing Address
SHALISE FERNANDER
1330 W AUTO DR
TEMPE, AZ 85284-1017
Phone number:
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