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Individual

STELLA OLULORO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8611 N 68TH DR, PEORIA, AZ 85345-8448
(623) 313-5424
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 859-7794

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH7752
AZ
385H00000X
Respite Care
BH7752
AZ

Other

Enumeration date
10/25/2022
Last updated
05/01/2024
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