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Individual

MS. LAURIE MATTHEWS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2132 W HASAN DR, PHOENIX, AZ 85041-5310
(602) 305-9180
Mailing address
1522 E SOUTHERN AVE, PHOENIX, AZ 85040-3543
(602) 243-1773
(602) 276-1984

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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