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Organization

FIGHT4LIFE INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QAADIR'NAQIB MUHAMMAD SR. (MANAGER)
(520) 252-7159
Entity
Organization

Contact information

Practice address
4411 S 40TH ST, PHOENIX, AZ 85040-2950
(480) 744-3166
Mailing address
1502 E OSBORN RD APT 125, PHOENIX, AZ 85014-5317
(520) 252-7159

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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