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1144752759
PROMEDISCH, LLC
PHOENIX, AZ
NPI
1144752759
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Entity Type
Organization
Authorized Contact
LAURA MAGOFFIE
Np
623-748-9106
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ AP4802)
Enumeration Date
2017-04-02
Last Update Date
2018-01-25
Business Address
PROMEDISCH, LLC
2525 W CAREFREE HWY STE 118
PHOENIX, AZ 85085-9302
Phone number: 623-748-9106
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Mailing Address
PROMEDISCH, LLC
39506 N DAISY MOUNTAIN DR SUITE 122-169
ANTHEM, AZ 85086-1663
Phone number:
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