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1467292151
DESERT GRACE WELLNESS LLC
WADDELL, AZ
NPI
1467292151
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Entity Type
Organization
Authorized Contact
ANNA P HALL
Sole Member
951-764-2457
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
DESERT GRACE WELLNESS LLC
17328 W SELDON LN
WADDELL, AZ 85355-7628
Phone number: 951-764-2457
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Mailing Address
DESERT GRACE WELLNESS LLC
PO BOX 774
WADDELL, AZ 85355-0774
Phone number: 951-764-2457
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