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1104287697
RESTORE DME MEDICAL GROUP, LLC
GOLD CANYON, AZ
NPI
1104287697
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Entity Type
Organization
Authorized Contact
ROBERT CHRISTIAAN ALLEN
Owner
480-689-9205
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 30153)
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
RESTORE DME MEDICAL GROUP, LLC
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118-7352
Phone number: 480-689-9205
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Mailing Address
RESTORE DME MEDICAL GROUP, LLC
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ 85118-7352
Phone number: 480-689-9205
Copy
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