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1366088585
ARIZONA WELLCARE LLC
PHOENIX, AZ
NPI
1366088585
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Entity Type
Organization
Authorized Contact
RHONDA RUSSELL
Owner
866-661-3816
Organization Subpart ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
ARIZONA WELLCARE LLC
2515 E THOMAS RD STE 16
PHOENIX, AZ 85016-7946
Phone number: 866-661-3816
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Mailing Address
ARIZONA WELLCARE LLC
2515 E THOMAS RD STE 16
PHOENIX, AZ 85016-7946
Phone number: 866-661-3816
Copy
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