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1033594247
BANNER SCHOOL BASED CLINIC
MESA, AZ
NPI
1033594247
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Entity Type
Organization
Authorized Contact
DENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
BANNER SCHOOL BASED CLINIC
855 W 8TH AVE
MESA, AZ 85210-3401
Phone number: 480-472-1112
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Mailing Address
BANNER SCHOOL BASED CLINIC
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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