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Individual
CHRISTIE MICK
Active
Individual
CHRISTIE MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
T3083819
AZ
372600000X
Adult Companion
T3083819
AZ
376J00000X
Homemaker
T3083819
AZ
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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