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1225570732
OMNI DERMATOLOGY ESTRELLA LLC
PHOENIX, AZ
NPI
1225570732
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Entity Type
Organization
Authorized Contact
ANDREW JOSEPH RACETTE
President
602-954-3919
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
OMNI DERMATOLOGY ESTRELLA LLC
9305 W THOMAS RD STE 350
PHOENIX, AZ 85037-3328
Phone number: 623-478-8000
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Mailing Address
OMNI DERMATOLOGY ESTRELLA LLC
4840 E INDIAN SCHOOL RD STE 102
PHOENIX, AZ 85018-5500
Phone number: 602-954-3919
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