Provider Information for 1205932936
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Ms. JULIA CRUZ SPAIN LPC
Sex: Female
NPI: 1205932936
Last Updated: 2008-04-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1205932936 | ||||||||
| Enumeration Date | 2006-09-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1235 S PUEBLO CT GILBERT, AZ 85233-8343 United States Phone: 480-812-3059 | Fax: | ||||||||
| Primary Practice Address | 633 E RAY RD SUITE 107 GILBERT, AZ 85296-4200 United States Phone: 602-697-1023 | Fax:480-422-5611 | ||||||||
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