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1477050375
BLUE YE MAYA LLC
PHOENIX, AZ
NPI
1477050375
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Entity Type
Organization
Authorized Contact
SHELL LUTTRELL
Owner
602-246-4466
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2018-04-09
Last Update Date
2018-09-18
Business Address
BLUE YE MAYA LLC
531 E LYNWOOD ST FL 2
PHOENIX, AZ 85004-1626
Phone number: 602-821-1594
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Mailing Address
BLUE YE MAYA LLC
531 E LYNWOOD ST FL 2
PHOENIX, AZ 85004-1626
Phone number:
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