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1164850517
ENLIVEN HOME INFUSION SPECIALISTS, LLC
AVONDALE, AZ
NPI
1164850517
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Entity Type
Organization
Authorized Contact
ERICK MIRAMONTES
President
623-698-4725
Organization Subpart ?
No
Primary Taxonomy
251F00000X Home Infusion
(Licence: AZ L18512080)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
ENLIVEN HOME INFUSION SPECIALISTS, LLC
11875 W MCDOWELL RD APT 1168
AVONDALE, AZ 85392-3105
Phone number: 623-698-4725
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Mailing Address
ENLIVEN HOME INFUSION SPECIALISTS, LLC
11875 W MCDOWELL RD APT 1168
AVONDALE, AZ 85392-3105
Phone number: 623-698-4725
Copy