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Solomon Tabe Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Laveen, AZ

NPI
1336913847
Type
Individual (Type 1)
Primary specialty
Psychiatric Residential Treatment Facility
Specialty group
Residential Treatment Facilities
Taxonomy code
323P00000X
License number
BH8993 (AZ)
Sex
Male
Sole proprietor
Yes
Enumerated
2023-11-14
Last updated
2023-11-16
Practice location
6838 W Pedro Ln
Laveen, AZ 85339-4702
(301) 693-8818

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