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1326652652
AUDACIOUS LIVING LLC
PHOENIX, AZ
NPI
1326652652
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Entity Type
Organization
Authorized Contact
CASSANDRA HILDRETH
Owner
702-683-5187
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-09-03
Last Update Date
2022-09-20
Business Address
AUDACIOUS LIVING LLC
1922 W LAS PALMARITAS DR APT J110
PHOENIX, AZ 85021-5041
Phone number: 702-683-5187
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Mailing Address
AUDACIOUS LIVING LLC
1922 W LAS PALMARITAS DR APT J110
PHOENIX, AZ 85021-5041
Phone number:
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