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1053938860
FAMILY PRIMARY CARE, LLC
LAKE HAVASU CITY, AZ
NPI
1053938860
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Entity Type
Organization
Authorized Contact
SHAWN ROBERT O'HAVER
Owner
928-208-2430
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2020-06-26
Last Update Date
2023-06-29
Business Address
FAMILY PRIMARY CARE, LLC
1720 MESQUITE AVE STE 100
LAKE HAVASU CITY, AZ 86403-5602
Phone number: 928-412-8808
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Mailing Address
FAMILY PRIMARY CARE, LLC
1720 MESQUITE AVE STE 100
LAKE HAVASU CITY, AZ 86403-5602
Phone number: 928-412-8808
Copy
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