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Organization

JUSSAMAL MANOR

Active
Parent organization
NONE
Other names
none
Organization subpart
Yes

Provider details

NPI number
Legal business name
NONE
Authorized official
MR. SAMUEL NJUGUNA MARIRA CEO (PROGRAM DIRECTOR)
(480) 559-5991
Entity
Organization

Contact information

Practice address
1302 W KESLER LN, CHANDLER, AZ 85224-7286
(480) 559-5991
(480) 268-7738
Mailing address
1302 W KESLER LN, CHANDLER, AZ 85224-7286
(480) 559-5991
(480) 268-7738

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3531
AZ

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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