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1003096801
CHILDREN'S MEDICAL GROUP, LTD
GLENDALE, AZ
NPI
1003096801
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Entity Type
Organization
Authorized Contact
AGNES T LARDIZABAL
Physician/President
602-843-4149
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
CHILDREN'S MEDICAL GROUP, LTD
5757 W THUNDERBIRD RD E 255
GLENDALE, AZ 85306-4641
Phone number: 602-843-4149
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Mailing Address
CHILDREN'S MEDICAL GROUP, LTD
5757 W THUNDERBIRD RD E 255
GLENDALE, AZ 85306-4641
Phone number: 602-843-4149
Copy
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