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Individual

GREGORIA MERCEDES FRAIJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8901 E 25TH ST, TUCSON, AZ 85710
(520) 312-5172
Mailing address
994 S HARRISON RD, INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC, TUCSON, AZ 85748
(520) 721-1887

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2899097
AZ
171W00000X
Contractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700158961
THERAPEUTIC FOSTER CARE
AZ
Enumeration date
02/03/2012
Last updated
11/04/2019
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