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1386254092
SOULSPARK, LLC
SCOTTSDALE, AZ
NPI
1386254092
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Entity Type
Organization
Authorized Contact
JANIA DAVIS
Owner
480-518-5321
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2020-08-06
Last Update Date
2024-03-11
Business Address
SOULSPARK, LLC
9835 E BELL RD STE 140
SCOTTSDALE, AZ 85260-2355
Phone number: 602-429-9244
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Mailing Address
SOULSPARK, LLC
2036 N GILBERT RD STE 2106
MESA, AZ 85203-2139
Phone number: 602-429-9129
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