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1942990783
DORIS TIH
AVONDALE, AZ
NPI
1942990783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
DORIS TIH Nurse
12034 W POLK ST
AVONDALE, AZ 85323-7202
Phone number: 310-940-2265
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Mailing Address
DORIS TIH Nurse
PO BOX 127
LITCHFIELD PARK, AZ 85340-0127
Phone number: 310-940-2265
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