JEAN-LUC LE PROVOST

PHOENIX, AZ
NPI1083940860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: AZ  09-1139)
Enumeration Date2009-10-28
Last Update Date2009-10-28
Business Address
Dr. JEAN-LUC LE PROVOST N.D.
1225 N 36TH ST UNIT 1058
PHOENIX, AZ 85008-5308
Phone number: 602-377-3671
Mailing Address
Dr. JEAN-LUC LE PROVOST N.D.
1225 N 36TH ST UNIT 1058
PHOENIX, AZ 85008-5308
Phone number: 602-377-3671
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