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1407321581
DESSALINES SPORTS MEDICINE, LLC
MESA, AZ
NPI
1407321581
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Entity Type
Organization
Authorized Contact
CHARLES PETERSON
Doctor
480-634-4606
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
DESSALINES SPORTS MEDICINE, LLC
6424 E BROADWAY RD STE 102
MESA, AZ 85206-1750
Phone number: 480-634-4606
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Mailing Address
DESSALINES SPORTS MEDICINE, LLC
6424 E BROADWAY RD STE 102
MESA, AZ 85206-1750
Phone number: 480-634-4606
Copy
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