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1144980947
ADVANCED SURGICAL WEIGHT LOSS, LLC
TEMPE, AZ
NPI
1144980947
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Entity Type
Organization
Authorized Contact
MICHAEL ORRIS
Owner
480-689-5104
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
ADVANCED SURGICAL WEIGHT LOSS, LLC
1855 E SOUTHERN AVE
TEMPE, AZ 85282-5894
Phone number: 480-689-5104
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Mailing Address
ADVANCED SURGICAL WEIGHT LOSS, LLC
1847 E SOUTHERN AVE STE 2
TEMPE, AZ 85282-5881
Phone number: 480-689-5104
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