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1104152768
CARDIAC AND VASCULAR ASSOCIATES LLC
LAKE HAVASU CITY, AZ
NPI
1104152768
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Entity Type
Organization
Authorized Contact
MELVYN V MAHON
Member
803-730-6790
Organization Subpart ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
CARDIAC AND VASCULAR ASSOCIATES LLC
1851 MESQUITE AVE SUITE 202
LAKE HAVASU CITY, AZ 86403-5677
Phone number: 928-855-5090
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Mailing Address
CARDIAC AND VASCULAR ASSOCIATES LLC
301 NORTHLAKE RD
COLUMBIA, SC 29223-6009
Phone number: 803-730-6790
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