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1306544432
PASSPORT HEALTH HOLDINGS, LLC
EDMOND, OK
NPI
1306544432
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Entity Type
Organization
Authorized Contact
PAUL FISHBURN
Medical Billing Specialist
480-646-9020
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
PASSPORT HEALTH HOLDINGS, LLC
14033 N EASTERN AVE SUITE B
EDMOND, OK 73013
Phone number: 844-358-8648
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Mailing Address
PASSPORT HEALTH HOLDINGS, LLC
4343 EAST OUTLIER BLV. SUITE 100W
PHOENIX, AZ 85008-6507
Phone number: 844-358-8648
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