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1982334249
JUANITA LEE THOMAS
LAVEEN, AZ
NPI
1982334249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
(Licence: AZ 5299458)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
JUANITA LEE THOMAS
6924 S 74TH LN
LAVEEN, AZ 85339-5093
Phone number: 602-595-6585
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Mailing Address
JUANITA LEE THOMAS
6924 S 74TH LN
LAVEEN, AZ 85339-5093
Phone number: 602-595-6585
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