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1215164421
JULIA S. WESSELS
PHOENIX, AZ
NPI
1215164421
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Entity Type
Organization
Authorized Contact
MARK LAZARE
Clinical Director/Owner
602-633-6000
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: AZ BH)
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
JULIA S. WESSELS
4550 E BELL RD
PHOENIX, AZ 85032-9306
Phone number: 602-633-6000
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Mailing Address
JULIA S. WESSELS
4550 E BELL RD
PHOENIX, AZ 85032-9306
Phone number: 602-633-6000
Copy
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