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1053883546
SOUTHERN MEDICAL GROUP LLC
MESA, AZ
NPI
1053883546
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Entity Type
Organization
Authorized Contact
DEREK PAUL PRUNI
Member
412-889-0636
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
SOUTHERN MEDICAL GROUP LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
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Mailing Address
SOUTHERN MEDICAL GROUP LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
Copy
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