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1457622763
PANACEA BRAIN AND SPINE, LLC
LAKE HAVASU CITY, AZ
NPI
1457622763
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Entity Type
Organization
Authorized Contact
CHAD HARTLEY
Owner
720-883-1593
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: AZ 46605)
Enumeration Date
2012-01-18
Last Update Date
2020-06-29
Business Address
PANACEA BRAIN AND SPINE, LLC
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403-0857
Phone number: 928-453-2211
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Mailing Address
PANACEA BRAIN AND SPINE, LLC
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403-0857
Phone number: 928-453-2211
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