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1033164538
WHITE MOUNTAIN DERMATOLOGY LLC
APACHE JUNCTION, AZ
NPI
1033164538
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Entity Type
Organization
Authorized Contact
GERARDO C BRUAL
President
480-671-4086
Organization Subpart ?
No
Primary Taxonomy
207NS0135X Dermatology, Procedural Dermatology
Enumeration Date
2006-05-23
Last Update Date
2015-04-07
Business Address
WHITE MOUNTAIN DERMATOLOGY LLC
288 N IRONWOOD DR SUITE 105
APACHE JUNCTION, AZ 85220-3830
Phone number: 480-671-4086
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Mailing Address
WHITE MOUNTAIN DERMATOLOGY LLC
288 N IRONWOOD DR SUITE 105
APACHE JUNCTION, AZ 85220-3830
Phone number: 480-671-4086
Copy
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