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1215785787
INTENTIONAL HEALING LLC
MESA, AZ
NPI
1215785787
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Entity Type
Organization
Authorized Contact
LAURA PORTER
CEO
480-282-0197
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
INTENTIONAL HEALING LLC
7908 E PERALTA AVE
MESA, AZ 85212-1561
Phone number: 480-282-0197
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Mailing Address
INTENTIONAL HEALING LLC
7908 E PERALTA AVE
MESA, AZ 85212-1561
Phone number: 480-282-0197
Copy
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