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Agency Name Arizona's Official Web Site

License Number: 14103009

License Number: 14103009 Status: Active
Business Name: MOOSE LODGE #1964
Location Address 10600 S NOGALES HWY
  TUCSON AZ 85706
County PIMA Bus. Phone (520)889-2435
Licensee/Agent/Tel: PHILLIPS, LARRY (520)889-2435 
Owner: MOOSE LODGE #1964 INC  Exp Date:   10/31/2018 
Issue Date: 05/30/2003  Status Date: 11/20/2009 
License Type: Club