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1215528062
BANNER CONCIERGE SERVICES LLC
PHOENIX, AZ
NPI
1215528062
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Entity Type
Organization
Authorized Contact
DENNIS LARAWAY
CFO
602-747-4000
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2021-02-02
Last Update Date
2021-12-27
Business Address
BANNER CONCIERGE SERVICES LLC
4375 E IRMA LN
PHOENIX, AZ 85050-4312
Phone number: 480-890-5800
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Mailing Address
BANNER CONCIERGE SERVICES LLC
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone number:
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