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1427264480
CENTRAL MOHAVE MEDICAL CLINICS LTD
KINGMAN, AZ
NPI
1427264480
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Entity Type
Organization
Authorized Contact
MICHAEL MASTAKAS
Physician
928-753-6668
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 13105)
Enumeration Date
2007-05-15
Last Update Date
2009-09-17
Business Address
CENTRAL MOHAVE MEDICAL CLINICS LTD
1915 N STOCKTON HILL RD
KINGMAN, AZ 86401-4652
Phone number: 928-753-6668
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Mailing Address
CENTRAL MOHAVE MEDICAL CLINICS LTD
1915 STOCKTON HILL RD
KINGMAN, AZ 86401-4652
Phone number: 928-753-6668
Copy
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