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Individual

ILIE VALEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8331 W WILLOWBROOK DR, PEORIA, AZ 85382-0894
(602) 309-0563
Mailing address
8331 W WILLOWBROOK DR, PEORIA, AZ 85382-0894

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
10708
AZ
310400000X
Assisted Living Facility
Primary
AL10708H
AZ

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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