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Individual

SUSANNE SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1231 E MINERAL RD, GILBERT, AZ 85234-4461
(480) 545-1918
Mailing address
1231 E MINERAL RD, GILBERT, AZ 85234-4461
(480) 545-1918

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
574859
AZ

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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