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JOHN HENRY MARTIN LICO

Assisted Living Facility

NPI: 1003432667Individual

Specialties, Licenses & Credentials

Assisted Living Facility

Code: 310400000X

AL11496H(AZ)

Contact & Hours

Address
15244 W WATSON LN
SURPRISE, AZ 85379

Quick Facts

NPI
1003432667
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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