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1083318604
NORTH GLENDALE REGENERATIVE MEDICINE PLLC
GLENDALE, AZ
NPI
1083318604
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Entity Type
Organization
Authorized Contact
SETH CLARK
Owner
623-544-9090
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
NORTH GLENDALE REGENERATIVE MEDICINE PLLC
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308-6045
Phone number: 623-544-9090
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Mailing Address
NORTH GLENDALE REGENERATIVE MEDICINE PLLC
18301 N 79TH AVE STE F168
GLENDALE, AZ 85308-6045
Phone number: 623-544-9090
Copy
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