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1003492158
CLEAN COLONIC FAMILY PRACTICE
PHOENIX, AZ
NPI
1003492158
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Entity Type
Organization
Authorized Contact
CAROLYN BERRY
Owner
480-269-5575
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
CLEAN COLONIC FAMILY PRACTICE
4744 E THUNDERBIRD RD STE 4
PHOENIX, AZ 85032-5577
Phone number: 480-269-5575
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Mailing Address
CLEAN COLONIC FAMILY PRACTICE
4744 E THUNDERBIRD RD STE 4
PHOENIX, AZ 85032-5577
Phone number: 480-269-5575
Copy
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