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1083257422
PRODIGY HEALTHCARE, LLC
MESA, AZ
NPI
1083257422
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Entity Type
Organization
Authorized Contact
MICHAEL STARKLE
Manager
480-999-0259
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
PRODIGY HEALTHCARE, LLC
460 N MESA DR STE 101
MESA, AZ 85201-5949
Phone number: 480-237-7210
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Mailing Address
PRODIGY HEALTHCARE, LLC
460 N MESA DR STE 101
MESA, AZ 85201-5949
Phone number: 480-237-7210
Copy
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