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1972250181
KIYOSHI FISH
PEORIA, AZ
NPI
1972250181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
KIYOSHI FISH MA
13571 W REMUDA DR
PEORIA, AZ 85383-8305
Phone number: 602-577-6352
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Mailing Address
KIYOSHI FISH MA
13571 W REMUDA DR
PEORIA, AZ 85383-8305
Phone number: 602-577-6352
Copy
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