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1154142867
AZURE HEALTH LLC
RUSSELLVILLE, AR
NPI
1154142867
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Entity Type
Organization
Authorized Contact
WILLY WIJAYA
Partner/Owner
479-880-1117
Organization Subpart ?
No
Primary Taxonomy
261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
AZURE HEALTH LLC
220 EAST 4TH STREET
RUSSELLVILLE, AR 72801
Phone number: 479-880-1117
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Mailing Address
AZURE HEALTH LLC
220 EAST 4TH STREET
RUSSELLVILLE, AR 72801
Phone number: 479-880-1117
Copy
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