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1093348096
SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS
LAKE HAVASU CITY, AZ
NPI
1093348096
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Entity Type
Organization
Authorized Contact
ADRIENNE ADAIR PRATER
Manager
928-486-3934
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS
1760 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403-6559
Phone number: 928-854-5368
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Mailing Address
SOUTHWEST EAR, NOSE, & THROAT SPECIALISTS
2331 HOGAN LN
LAKE HAVASU CITY, AZ 86406-8242
Phone number: 928-486-3934
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