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JESUS DUARTE

Respite Care, Mental Illness, Child >> Respite Care >> Respite Care Facility

Registrant NPI Number: 1841358231

Individual Registrant:
 JESUS  DUARTE 
Gender: M
Sole Proprietor

Location and contact information for practice:
291 N. STEVENS LN. LOT 13 PARKS, AZ 86018 US
Tel: 928-600-5544  Fax: --

Contact information for business:
PO BOX 50224  PARKS, AZ 86018-0224 US
Tel: 928-600-5544  Fax: --

Registration Information:
NPI: 1841358231
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child
AZ3887

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AHCCCS ID738148AZ01




HEALTH CARE JOBS AZ - Page 1



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