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1205435880
FORWARD CARE FAMILY PRACTICE, PLLC
GLENDALE, AZ
NPI
1205435880
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Entity Type
Organization
Authorized Contact
ELLANA DAVIDOV
Authorized Official/Owner
602-373-8968
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-10-23
Last Update Date
2020-10-26
Business Address
FORWARD CARE FAMILY PRACTICE, PLLC
7800 N 55TH AVE
GLENDALE, AZ 85301-1321
Phone number: 602-373-8968
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Mailing Address
FORWARD CARE FAMILY PRACTICE, PLLC
2428 W WOBURN LN
PHOENIX, AZ 85085-5031
Phone number: 602-373-8968
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