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1316412950
THS IOM LLC
PHOENIX, AZ
NPI
1316412950
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Entity Type
Organization
Authorized Contact
PIERCE WAYCHOFF
Mbr
602-482-2282
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
THS IOM LLC
3329 E BELL RD STE A1
PHOENIX, AZ 85032-2756
Phone number: 602-482-2282
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Mailing Address
THS IOM LLC
2801 CENTERVILLE RD FL 1
WILMINGTON, DE 19808-1609
Phone number:
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