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1316468333
MESA OUTPATIENT TREATMENT CENTER LLC
MESA, AZ
NPI
1316468333
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Entity Type
Organization
Authorized Contact
JEREMY BUCKNER
Mbr
480-272-8944
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2017-06-29
Last Update Date
2022-07-21
Business Address
MESA OUTPATIENT TREATMENT CENTER LLC
4540 E BASELINE RD STE 119
MESA, AZ 85206
Phone number: 480-272-8944
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Mailing Address
MESA OUTPATIENT TREATMENT CENTER LLC
4540 E BASELINE RD STE 119
MESA, AZ 85206-4617
Phone number: 480-272-8944
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