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1235680596
NORTH PHOENIX OTC LLC
PHOENIX, AZ
NPI
1235680596
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Entity Type
Organization
Authorized Contact
ERIN L WAYCHOFF
Sole Mbr
602-482-2282
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
NORTH PHOENIX OTC LLC
3329 E BELL RD STE A1-A5
PHOENIX, AZ 85032
Phone number: 602-482-2282
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Mailing Address
NORTH PHOENIX OTC LLC
3329 E BELL RD STE A1-A5
PHOENIX, AZ 85032
Phone number: 602-482-2282
Copy
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