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1285242560
GROWING SPACE LLC
PHOENIX, AZ
NPI
1285242560
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Entity Type
Organization
Authorized Contact
JOURNE DOMEK
Occupational Therapist
480-347-8265
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
GROWING SPACE LLC
3940 S 79TH DR
PHOENIX, AZ 85043-1694
Phone number: 480-347-8265
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Mailing Address
GROWING SPACE LLC
3940 S 79TH DR
PHOENIX, AZ 85043-1694
Phone number:
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