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Individual

STEVEN PAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6309 E CALLE MARTE, TUCSON, AZ 85710-5635
(520) 571-1173
Mailing address
6309 E CALLE MARTE, TUCSON, AZ 85710-5635
(520) 571-1173

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
738205
AZ
Enumeration date
11/21/2006
Last updated
07/26/2007
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