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1013281740
WESTERN REGIONAL NEUROLOGY, LLC
LAKE HAVASU CITY, AZ
NPI
1013281740
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Entity Type
Organization
Authorized Contact
CAMILLE YVONNE KEENE
Owner
865-531-0176
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: AZ 45845)
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
WESTERN REGIONAL NEUROLOGY, LLC
2005 INJO DR SUITE 103
LAKE HAVASU CITY, AZ 86403-5874
Phone number: 865-531-0176
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Mailing Address
WESTERN REGIONAL NEUROLOGY, LLC
2005 INJO DR SUITE 103
LAKE HAVASU CITY, AZ 86403-5874
Phone number: 865-531-0176
Copy
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