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Individual

REGINA JUMALON BICKING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(602) 526-4596
(602) 281-2828
Mailing address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(602) 526-4596
(602) 281-2828

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10721H
AZ

Other

Enumeration date
04/16/2019
Last updated
04/16/2019
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